Provider First Line Business Practice Location Address:
2026 17TH ST
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-4251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-861-1134
Provider Business Practice Location Address Fax Number:
661-325-3030
Provider Enumeration Date:
05/08/2007