Provider First Line Business Practice Location Address:
5055 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
#320
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-334-2056
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2012