Provider First Line Business Practice Location Address:
1601 MILL ROCK WAY # A
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:
93311-1315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-847-0065
Provider Business Practice Location Address Fax Number:
661-847-0068
Provider Enumeration Date:
05/28/2008