Provider First Line Business Practice Location Address:
730 34TH ST
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:
93301-2210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-380-0988
Provider Business Practice Location Address Fax Number:
289-236-3022
Provider Enumeration Date:
08/28/2007