Provider First Line Business Practice Location Address:
5060 CALIFORNIA AVE # 200
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:
93309-0728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-1000
Provider Business Practice Location Address Fax Number:
661-323-4957
Provider Enumeration Date:
03/23/2007