Provider First Line Business Practice Location Address:
2400 WIBLE RD STE 14
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:
93304-4734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-835-1240
Provider Business Practice Location Address Fax Number:
661-835-4667
Provider Enumeration Date:
03/20/2007