Provider First Line Business Practice Location Address:
2323 16TH ST STE 100
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:
93301-3453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-2545
Provider Business Practice Location Address Fax Number:
661-324-9636
Provider Enumeration Date:
04/27/2015