Provider First Line Business Practice Location Address:
2520 H ST STE B
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:
93301-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2008