Provider First Line Business Practice Location Address:
7801 CALLE CERCA
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:
93309-7147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-978-9393
Provider Business Practice Location Address Fax Number:
661-833-9236
Provider Enumeration Date:
10/02/2006