Provider First Line Business Practice Location Address:
5060 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
10TH FLOOR
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-616-0511
Provider Business Practice Location Address Fax Number:
805-203-5231
Provider Enumeration Date:
02/23/2013