Provider First Line Business Practice Location Address:
7702 MEANY AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93308-5199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-7830
Provider Business Practice Location Address Fax Number:
661-843-7831
Provider Enumeration Date:
03/14/2012