Provider First Line Business Practice Location Address:
3201 F ST STE 250
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:
93301-1839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-7500
Provider Business Practice Location Address Fax Number:
661-322-7510
Provider Enumeration Date:
05/19/2007