Provider First Line Business Practice Location Address:
4000 PHYSICIANS BLVD
Provider Second Line Business Practice Location Address:
BLDG E #101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-0807
Provider Business Practice Location Address Fax Number:
661-327-7593
Provider Enumeration Date:
07/14/2008