Provider First Line Business Practice Location Address:
1902 B ST
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-637-1111
Provider Business Practice Location Address Fax Number:
661-637-1112
Provider Enumeration Date:
07/26/2006