Provider First Line Business Practice Location Address:
425 GOLDEN STATE AVE
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:
93301-4114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-901-1440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2010