Provider First Line Business Practice Location Address:
5500 MING AVENUE
Provider Second Line Business Practice Location Address:
#190
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-864-0490
Provider Business Practice Location Address Fax Number:
661-864-0754
Provider Enumeration Date:
11/05/2007