Provider First Line Business Practice Location Address:
5640 DISTRICT BLVD STE 111
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:
93313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-832-1290
Provider Business Practice Location Address Fax Number:
661-832-1299
Provider Enumeration Date:
11/01/2006