Provider First Line Business Practice Location Address:
2601 OSWELL STREET
Provider Second Line Business Practice Location Address:
SUITE101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-872-9999
Provider Business Practice Location Address Fax Number:
661-616-5748
Provider Enumeration Date:
02/01/2006