Provider First Line Business Practice Location Address:
2201 MOUNT VERNON AVE
Provider Second Line Business Practice Location Address:
STE 109
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-3341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-872-7000
Provider Business Practice Location Address Fax Number:
661-846-7150
Provider Enumeration Date:
07/10/2006