Provider First Line Business Practice Location Address:
2619 F 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:
93301-1815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-861-0011
Provider Business Practice Location Address Fax Number:
661-861-1011
Provider Enumeration Date:
04/06/2011