Provider First Line Business Practice Location Address:
2525 NORTH CHESTER AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-328-4295
Provider Business Practice Location Address Fax Number:
661-399-0920
Provider Enumeration Date:
08/17/2006