Provider First Line Business Practice Location Address:
1326 H ST STE 3
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:
93301-5134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-5100
Provider Business Practice Location Address Fax Number:
661-327-5101
Provider Enumeration Date:
08/01/2012