Provider First Line Business Practice Location Address:
820 34TH ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-864-7944
Provider Business Practice Location Address Fax Number:
661-864-7946
Provider Enumeration Date:
03/27/2012