Provider First Line Business Practice Location Address:
5330 OFFICE CENTER CT
Provider Second Line Business Practice Location Address:
SUITE #27
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-4070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2009