Provider First Line Business Practice Location Address:
930 OAK ST
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93304-1060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-304-7542
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2012