Provider First Line Business Practice Location Address:
234 BAKER ST STE 6
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:
93305-5856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-632-2144
Provider Business Practice Location Address Fax Number:
661-632-2146
Provider Enumeration Date:
07/09/2009