Provider First Line Business Practice Location Address:
3905 HUGHES LN STE E-1
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:
93304-6365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-827-1033
Provider Business Practice Location Address Fax Number:
661-827-1138
Provider Enumeration Date:
09/07/2006