Provider First Line Business Practice Location Address:
1111 COLUMBUS ST STE 2000
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:
93305-1938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-6580
Provider Business Practice Location Address Fax Number:
661-326-6582
Provider Enumeration Date:
10/24/2006