Provider First Line Business Practice Location Address:
5080 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
SUITE 415
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-371-2790
Provider Business Practice Location Address Fax Number:
661-371-3498
Provider Enumeration Date:
02/27/2014