Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE STE 200
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:
93309-7052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-334-2016
Provider Business Practice Location Address Fax Number:
661-334-2079
Provider Enumeration Date:
01/18/2007