Provider First Line Business Practice Location Address:
311 GARNSEY 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:
93309-2059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-283-4160
Provider Business Practice Location Address Fax Number:
661-322-3312
Provider Enumeration Date:
06/15/2007