Provider First Line Business Practice Location Address:
511 W COLUMBUS 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:
93301-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-2329
Provider Business Practice Location Address Fax Number:
661-869-2003
Provider Enumeration Date:
07/05/2006