Provider First Line Business Practice Location Address:
4101 EASTON DR
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:
93309-1021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-1700
Provider Business Practice Location Address Fax Number:
661-377-1707
Provider Enumeration Date:
10/24/2009