Provider First Line Business Practice Location Address:
5301 OFFICE PARK DR
Provider Second Line Business Practice Location Address:
SUITE 410
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-2400
Provider Business Practice Location Address Fax Number:
661-377-2401
Provider Enumeration Date:
04/24/2008