Provider First Line Business Practice Location Address:
7850 WHITE LANE
Provider Second Line Business Practice Location Address:
STE. E BOX 380
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-706-3333
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2007