Provider First Line Business Practice Location Address:
3805 SAN DIMAS ST
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-9999
Provider Business Practice Location Address Fax Number:
661-326-9011
Provider Enumeration Date:
06/18/2013