Provider First Line Business Practice Location Address:
7900 NILES 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:
93306-4937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-7730
Provider Business Practice Location Address Fax Number:
661-868-7746
Provider Enumeration Date:
08/17/2011