Provider First Line Business Practice Location Address:
3900 SAN DIMAS ST
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:
93301-1458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-6102
Provider Business Practice Location Address Fax Number:
661-323-6113
Provider Enumeration Date:
07/21/2006