Provider First Line Business Practice Location Address:
7508 MEANY AVE STE B
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:
93308-5178
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-410-0010
Provider Business Practice Location Address Fax Number:
661-589-9499
Provider Enumeration Date:
11/18/2009