Provider First Line Business Practice Location Address:
600 COFFEE RD STE Q
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:
93309-1264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-4400
Provider Business Practice Location Address Fax Number:
661-323-4401
Provider Enumeration Date:
06/20/2014