Provider First Line Business Practice Location Address:
5500 MING AVE STE 330
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:
93309-4680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-827-8833
Provider Business Practice Location Address Fax Number:
661-833-8800
Provider Enumeration Date:
06/07/2007