Provider First Line Business Practice Location Address:
2010 16TH ST
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:
93301-5007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-7838
Provider Business Practice Location Address Fax Number:
661-327-1808
Provider Enumeration Date:
05/07/2012