Provider First Line Business Practice Location Address:
2700 F. ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-4325
Provider Business Practice Location Address Fax Number:
661-322-4332
Provider Enumeration Date:
06/22/2007