Provider First Line Business Practice Location Address:
5601 AUBURN ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-2976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-4411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2015