Provider First Line Business Practice Location Address:
2225 E 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:
93301-3845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-4716
Provider Business Practice Location Address Fax Number:
661-324-3490
Provider Enumeration Date:
10/03/2006