Provider First Line Business Practice Location Address:
5500 MING AVE SUITE #480
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:
93309-4631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-348-4534
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2015