Provider First Line Business Practice Location Address:
2303 S UNION AVE STE C2
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:
93307-4159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-885-7007
Provider Business Practice Location Address Fax Number:
661-735-3699
Provider Enumeration Date:
04/16/2009