Provider First Line Business Practice Location Address:
6500 NILES ST. (NEC)
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:
93306-4858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-363-6384
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2009