Provider First Line Business Practice Location Address:
5330 OFFICE CENTER CT STE 36
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:
93309-1561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-6090
Provider Business Practice Location Address Fax Number:
661-325-0762
Provider Enumeration Date:
08/10/2007