Provider First Line Business Practice Location Address:
820 34TH ST
Provider Second Line Business Practice Location Address:
SUITE# 100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-636-0903
Provider Business Practice Location Address Fax Number:
661-324-4844
Provider Enumeration Date:
12/16/2008