Provider First Line Business Practice Location Address:
2528 CHESTER 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:
93301-2013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-432-7922
Provider Business Practice Location Address Fax Number:
661-432-7923
Provider Enumeration Date:
12/02/2014