Provider First Line Business Practice Location Address:
901 TOWER WAY
Provider Second Line Business Practice Location Address:
STE. 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1585
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-1700
Provider Business Practice Location Address Fax Number:
661-616-9199
Provider Enumeration Date:
01/05/2011