Provider First Line Business Practice Location Address:
2621 OSWELL ST
Provider Second Line Business Practice Location Address:
STE. #119
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-3172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6797
Provider Business Practice Location Address Fax Number:
661-872-3001
Provider Enumeration Date:
03/10/2009