Provider First Line Business Practice Location Address:
2801 SPRUCE 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:
93301-1713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-861-9000
Provider Business Practice Location Address Fax Number:
661-861-9132
Provider Enumeration Date:
08/31/2005