Provider First Line Business Practice Location Address:
2819 N 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:
93308-1587
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-399-2901
Provider Business Practice Location Address Fax Number:
661-399-2908
Provider Enumeration Date:
10/18/2006