Provider First Line Business Practice Location Address:
2530 F ST STE 100
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:
93301-3844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-633-2934
Provider Business Practice Location Address Fax Number:
661-633-2393
Provider Enumeration Date:
07/12/2007