Provider First Line Business Practice Location Address:
1801 16TH ST STE B
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:
93301-5002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-8060
Provider Business Practice Location Address Fax Number:
661-326-1349
Provider Enumeration Date:
02/09/2010