Provider First Line Business Practice Location Address:
1851 OAK ST
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-4200
Provider Business Practice Location Address Fax Number:
661-323-3600
Provider Enumeration Date:
01/13/2010