Provider First Line Business Practice Location Address:
1111 COLUMBUS ST
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:
93305-1936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-8300
Provider Business Practice Location Address Fax Number:
661-868-6477
Provider Enumeration Date:
01/14/2016