Provider First Line Business Practice Location Address:
3409 CALLOWAY DR
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-587-2500
Provider Business Practice Location Address Fax Number:
661-587-2535
Provider Enumeration Date:
03/08/2007