Provider First Line Business Practice Location Address:
3605 ORA VISTA AVE
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:
93309-5117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-833-9983
Provider Business Practice Location Address Fax Number:
661-837-1951
Provider Enumeration Date:
01/24/2007