Provider First Line Business Practice Location Address:
5555 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
302
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-7760
Provider Business Practice Location Address Fax Number:
661-843-7765
Provider Enumeration Date:
11/08/2013