Provider First Line Business Practice Location Address:
500 40TH 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:
93301-1224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-3784
Provider Business Practice Location Address Fax Number:
661-327-0164
Provider Enumeration Date:
09/12/2007