Provider First Line Business Practice Location Address:
3301 19TH ST STE B
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:
93301-3057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-2051
Provider Business Practice Location Address Fax Number:
661-633-1730
Provider Enumeration Date:
06/08/2009