Provider First Line Business Practice Location Address:
601 EUREKA 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:
93305-5811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-873-1460
Provider Business Practice Location Address Fax Number:
661-871-1067
Provider Enumeration Date:
10/06/2006