Provider First Line Business Practice Location Address:
300 OLD RIVER RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311-9503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-663-4800
Provider Business Practice Location Address Fax Number:
661-663-4871
Provider Enumeration Date:
02/07/2006