Provider First Line Business Practice Location Address:
4580 COMMERCE DR.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-3800
Provider Business Practice Location Address Fax Number:
661-327-7958
Provider Enumeration Date:
07/14/2009