Provider First Line Business Practice Location Address:
2222 E ST STE 3
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:
93301-3810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-3771
Provider Business Practice Location Address Fax Number:
661-324-1630
Provider Enumeration Date:
11/14/2006