Provider First Line Business Practice Location Address:
13061 ROSEDALE HWY
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93314-7612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-588-5511
Provider Business Practice Location Address Fax Number:
661-588-5522
Provider Enumeration Date:
10/10/2007