Provider First Line Business Practice Location Address:
2801 VASSAR ST
Provider Second Line Business Practice Location Address:
1
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-2672
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-209-3577
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2012