Provider First Line Business Practice Location Address:
6005 HARTMAN 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:
93309-1925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-332-7393
Provider Business Practice Location Address Fax Number:
661-456-0161
Provider Enumeration Date:
12/31/2015