Provider First Line Business Practice Location Address:
3800 NILES ST
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-4593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-871-7770
Provider Business Practice Location Address Fax Number:
661-871-7177
Provider Enumeration Date:
05/25/2006