Provider First Line Business Practice Location Address:
3809 SAN DIMAS ST STE A
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:
93301-5727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-322-7696
Provider Business Practice Location Address Fax Number:
661-323-4873
Provider Enumeration Date:
04/16/2009