Provider First Line Business Practice Location Address:
501 BELMONT AVE
Provider Second Line Business Practice Location Address:
SPACE 22
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93308-4277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-393-2479
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2011