Provider First Line Business Practice Location Address:
3805 UNION AVE
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:
93305-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-7792
Provider Business Practice Location Address Fax Number:
661-323-7778
Provider Enumeration Date:
07/03/2006