Provider First Line Business Practice Location Address:
4705 NEW HORIZON BLVD
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93313-2369
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-393-5300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2006