Provider First Line Business Practice Location Address:
5555 BUSINESS PARK SOUTH
Provider Second Line Business Practice Location Address:
#200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-7841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-325-0670
Provider Business Practice Location Address Fax Number:
661-748-1878
Provider Enumeration Date:
04/30/2013