Provider First Line Business Practice Location Address:
1205 8TH ST
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:
93304-2123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-334-2200
Provider Business Practice Location Address Fax Number:
661-334-2212
Provider Enumeration Date:
08/08/2006