Provider First Line Business Practice Location Address:
3807 SAN DIMAS ST
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-634-9344
Provider Business Practice Location Address Fax Number:
661-634-0655
Provider Enumeration Date:
05/09/2007