Provider First Line Business Practice Location Address:
2601 OSWELL ST
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-872-9999
Provider Business Practice Location Address Fax Number:
661-872-1915
Provider Enumeration Date:
05/10/2006