Provider First Line Business Practice Location Address:
7440 MEANY AVE
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:
93308-5183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-7843
Provider Business Practice Location Address Fax Number:
661-843-7834
Provider Enumeration Date:
04/10/2015