Provider First Line Business Practice Location Address:
5201 CALIFORNIA AVE STE 410
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:
93309-1673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-2020
Provider Business Practice Location Address Fax Number:
661-631-0370
Provider Enumeration Date:
05/05/2008