Provider First Line Business Practice Location Address:
3535 SAN DIMAS ST SUITE. 2
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:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-864-1150
Provider Business Practice Location Address Fax Number:
661-864-1145
Provider Enumeration Date:
12/15/2008