Provider First Line Business Practice Location Address:
2222 E ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-2681
Provider Business Practice Location Address Fax Number:
661-327-0193
Provider Enumeration Date:
05/22/2007