Provider First Line Business Practice Location Address:
3100 ACTIS RD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-831-1906
Provider Business Practice Location Address Fax Number:
661-832-7565
Provider Enumeration Date:
01/31/2012