Provider First Line Business Practice Location Address:
5001 E COMMERCENTER DR. SUITE255
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:
93309-1659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-7670
Provider Business Practice Location Address Fax Number:
661-631-0390
Provider Enumeration Date:
07/06/2006