Provider First Line Business Practice Location Address:
1500 HAGGIN OAKS BLVD STE 202
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:
93311-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-735-3887
Provider Business Practice Location Address Fax Number:
661-836-5545
Provider Enumeration Date:
04/10/2006