Provider First Line Business Practice Location Address:
1400 S UNION AVE STE 100
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:
93307-4179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-397-8775
Provider Business Practice Location Address Fax Number:
661-397-8286
Provider Enumeration Date:
06/23/2008