Provider First Line Business Practice Location Address:
3807 UNION AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93305-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-0333
Provider Business Practice Location Address Fax Number:
661-326-1633
Provider Enumeration Date:
06/16/2006