Provider First Line Business Practice Location Address:
5300 LENNOX AVE STE 105
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:
93309-1662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-735-1710
Provider Business Practice Location Address Fax Number:
661-888-4841
Provider Enumeration Date:
01/13/2006