Provider First Line Business Practice Location Address:
2336 EYE STREET
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:
93301-4012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-2925
Provider Business Practice Location Address Fax Number:
661-716-0292
Provider Enumeration Date:
08/07/2006