Provider First Line Business Practice Location Address:
3737 SAN DIMAS ST STE 101
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:
93301-5733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-5037
Provider Business Practice Location Address Fax Number:
661-327-7633
Provider Enumeration Date:
02/01/2011