Provider First Line Business Practice Location Address:
1400 EASTON DRIVE
Provider Second Line Business Practice Location Address:
SUITE 151
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:
661-634-9737
Provider Business Practice Location Address Fax Number:
661-634-9737
Provider Enumeration Date:
09/21/2011