Provider First Line Business Practice Location Address:
3551 Q STREET
Provider Second Line Business Practice Location Address:
103
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-8000
Provider Business Practice Location Address Fax Number:
661-322-8222
Provider Enumeration Date:
07/25/2006