Provider First Line Business Practice Location Address:
13125 ROSEDALE HWY
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:
93314-9449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-1700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2006