Provider First Line Business Practice Location Address:
6300 WHITE LN
Provider Second Line Business Practice Location Address:
STE. C
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-8763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-827-1100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007