Provider First Line Business Practice Location Address:
5900 ALFRED HARRELL HWY
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:
93308-9651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-872-2545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2009