Provider First Line Business Practice Location Address:
2731 BERNARD ST
Provider Second Line Business Practice Location Address:
APT # 50
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-2946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-235-9295
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2009