Provider First Line Business Practice Location Address:
500 OLD RIVER RD STE 260
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:
93311-9509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-6464
Provider Business Practice Location Address Fax Number:
661-282-8417
Provider Enumeration Date:
02/22/2010