Provider First Line Business Practice Location Address:
4208 ROSEDALE HWY STE 201
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:
93308-6172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-5500
Provider Business Practice Location Address Fax Number:
661-327-5503
Provider Enumeration Date:
06/30/2006