Provider First Line Business Practice Location Address:
4200 BUCK OWENS BLVD
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:
93308-4935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-633-2125
Provider Business Practice Location Address Fax Number:
661-348-4784
Provider Enumeration Date:
12/10/2005