Provider First Line Business Practice Location Address:
1800 S FAIRFAX RD
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:
93307-8520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-366-1800
Provider Business Practice Location Address Fax Number:
661-328-7991
Provider Enumeration Date:
09/24/2008