Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
TOWER B-210
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-7024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-2933
Provider Business Practice Location Address Fax Number:
661-397-9626
Provider Enumeration Date:
02/08/2007