Provider First Line Business Practice Location Address:
5001 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-7700
Provider Business Practice Location Address Fax Number:
661-283-0042
Provider Enumeration Date:
08/05/2007