Provider First Line Business Practice Location Address:
1030 H ST
Provider Second Line Business Practice Location Address:
#1
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93304-1314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-9421
Provider Business Practice Location Address Fax Number:
661-323-3604
Provider Enumeration Date:
01/23/2007