Provider First Line Business Practice Location Address:
2828 H ST
Provider Second Line Business Practice Location Address:
STE D
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-873-4756
Provider Business Practice Location Address Fax Number:
661-410-3222
Provider Enumeration Date:
08/26/2010