Provider First Line Business Practice Location Address:
2603 G ST
Provider Second Line Business Practice Location Address:
100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-2878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-1233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2007