Provider First Line Business Practice Location Address:
1120 CALLOWAY DRIVE
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-6398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-588-2772
Provider Business Practice Location Address Fax Number:
661-588-3773
Provider Enumeration Date:
03/20/2007