Provider First Line Business Practice Location Address:
3012 BUCK OWENS BLVD
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:
93308-6341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-9480
Provider Business Practice Location Address Fax Number:
661-322-0908
Provider Enumeration Date:
03/07/2007