Provider First Line Business Practice Location Address:
1800 OAK ST STE C-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:
93301-3061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-477-1442
Provider Business Practice Location Address Fax Number:
661-885-4258
Provider Enumeration Date:
06/06/2013