Provider First Line Business Practice Location Address:
1524 - 27TH STREET
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-6700
Provider Business Practice Location Address Fax Number:
661-322-6707
Provider Enumeration Date:
07/21/2006