Provider First Line Business Practice Location Address:
4520 CALIFORNIA AVE STE 210
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:
93309-1190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-792-9129
Provider Business Practice Location Address Fax Number:
855-278-9129
Provider Enumeration Date:
03/26/2007