Provider First Line Business Practice Location Address:
3513 KAPRAL WAY
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:
93309-6413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-706-7379
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2017