Provider First Line Business Practice Location Address:
4550 CALIFORNIA AVE STE 500
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:
93309-7020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-336-0920
Provider Business Practice Location Address Fax Number:
661-322-4243
Provider Enumeration Date:
08/28/2006