Provider First Line Business Practice Location Address:
5001 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-8300
Provider Business Practice Location Address Fax Number:
888-498-1395
Provider Enumeration Date:
08/10/2009