Provider First Line Business Practice Location Address:
2001 28TH ST, BAKERSFIELD 93301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CALIFORNIA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
661-868-6807
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2012