Provider First Line Business Practice Location Address:
1801 JULIAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-831-9150
Provider Business Practice Location Address Fax Number:
661-831-2439
Provider Enumeration Date:
06/23/2006