Provider First Line Business Practice Location Address:
2323 16TH ST STE 407
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:
93301-3454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-741-0924
Provider Business Practice Location Address Fax Number:
661-741-0930
Provider Enumeration Date:
01/11/2006