Provider First Line Business Practice Location Address:
9400 EMPIRE STATE DR
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:
93311-9009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-477-8372
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/27/2014