Provider First Line Business Practice Location Address:
2525 H ST
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:
93301-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-7208
Provider Business Practice Location Address Fax Number:
661-324-3403
Provider Enumeration Date:
10/17/2006