Provider First Line Business Practice Location Address:
3500 COFFEE RD STE 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:
93308-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-6700
Provider Business Practice Location Address Fax Number:
661-589-6702
Provider Enumeration Date:
07/12/2006