Provider First Line Business Practice Location Address:
9100 ROSEDALE HWY
Provider Second Line Business Practice Location Address:
T-1384
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-7192
Provider Business Practice Location Address Fax Number:
661-695-3186
Provider Enumeration Date:
06/05/2012