Provider First Line Business Practice Location Address:
3108 SARATOGA ST
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:
93306-4338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-747-8904
Provider Business Practice Location Address Fax Number:
661-864-2725
Provider Enumeration Date:
07/26/2006