Provider First Line Business Practice Location Address:
217 MOUNT VERNON AVE STE 3
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:
93307-2751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-635-3200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006