Provider First Line Business Practice Location Address:
3535 UNION AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93305-2937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-903-4885
Provider Business Practice Location Address Fax Number:
661-903-4885
Provider Enumeration Date:
06/04/2012