Provider First Line Business Practice Location Address:
4000 SAN DIMAS ST
Provider Second Line Business Practice Location Address:
#2
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1296
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-1401
Provider Business Practice Location Address Fax Number:
661-325-6858
Provider Enumeration Date:
04/16/2008