Provider First Line Business Practice Location Address:
26 BERNARD ST
Provider Second Line Business Practice Location Address:
SUITE 90
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93305-3493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-8900
Provider Business Practice Location Address Fax Number:
661-631-8909
Provider Enumeration Date:
05/09/2006