Provider First Line Business Practice Location Address:
2920 F ST
Provider Second Line Business Practice Location Address:
E-15
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-0711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/27/2007