Provider First Line Business Practice Location Address:
5251 OFFICE PARK DR.
Provider Second Line Business Practice Location Address:
BLGD. 100 STE. 120
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-336-0700
Provider Business Practice Location Address Fax Number:
661-336-0200
Provider Enumeration Date:
06/14/2006