Provider First Line Business Practice Location Address:
1200 N CHESTER 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:
93308-3521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-392-2110
Provider Business Practice Location Address Fax Number:
661-392-0681
Provider Enumeration Date:
12/28/2006