Provider First Line Business Practice Location Address:
6443 ABBY ROSE AVE
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:
93308-7410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-387-9468
Provider Business Practice Location Address Fax Number:
661-387-9479
Provider Enumeration Date:
12/02/2009