Provider First Line Business Practice Location Address:
2601 16TH 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:
93301-3348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-633-2541
Provider Business Practice Location Address Fax Number:
661-633-9042
Provider Enumeration Date:
05/17/2007