Provider First Line Business Practice Location Address:
815 DR MARTIN LUTHER KING JR BLVD
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:
93307-1365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-3905
Provider Business Practice Location Address Fax Number:
661-322-1370
Provider Enumeration Date:
03/16/2007