Provider First Line Business Practice Location Address:
2808 F ST
Provider Second Line Business Practice Location Address:
E
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-395-0688
Provider Business Practice Location Address Fax Number:
661-395-3082
Provider Enumeration Date:
09/26/2006