Provider First Line Business Practice Location Address:
2300 S UNION AVE
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:
93307-4186
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6175
Provider Business Practice Location Address Fax Number:
661-868-6180
Provider Enumeration Date:
05/30/2007