Provider First Line Business Practice Location Address:
5329 OFFICE CENTER CT STE 100
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:
93309-7400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-6800
Provider Business Practice Location Address Fax Number:
661-589-6805
Provider Enumeration Date:
07/15/2006