Provider First Line Business Practice Location Address:
9001 S H 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:
93307-5948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
613-284-2606
Provider Business Practice Location Address Fax Number:
661-617-2888
Provider Enumeration Date:
07/17/2014