Provider First Line Business Practice Location Address:
2553 OLD FARM RD
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:
93312-3531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-588-6000
Provider Business Practice Location Address Fax Number:
661-588-6009
Provider Enumeration Date:
05/20/2010