Provider First Line Business Practice Location Address:
4570 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
SUITE#350
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-3095
Provider Business Practice Location Address Fax Number:
661-323-4313
Provider Enumeration Date:
11/03/2005