Provider First Line Business Practice Location Address:
5060 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
SUITE 1075
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-616-0888
Provider Business Practice Location Address Fax Number:
661-616-0889
Provider Enumeration Date:
07/23/2009