Provider First Line Business Practice Location Address:
9100 ROSEDALE HWY
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:
93312-2143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-9870
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2006