Provider First Line Business Practice Location Address:
5101 COMMERCE DR
Provider Second Line Business Practice Location Address:
SUITE #102
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-1500
Provider Business Practice Location Address Fax Number:
661-323-1767
Provider Enumeration Date:
04/19/2013