Provider First Line Business Practice Location Address:
33 S REAL RD
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:
93309-2135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-964-5024
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2011