Provider First Line Business Practice Location Address:
1919 G 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:
93301-4321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-232-8585
Provider Business Practice Location Address Fax Number:
661-323-5494
Provider Enumeration Date:
10/24/2006