Provider First Line Business Practice Location Address:
1425 S H ST
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:
93304-4512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-833-1680
Provider Business Practice Location Address Fax Number:
661-833-1510
Provider Enumeration Date:
05/04/2009