Provider First Line Business Practice Location Address:
1611 1ST ST
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:
93304-2901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-336-5300
Provider Business Practice Location Address Fax Number:
661-336-5303
Provider Enumeration Date:
10/20/2006