Provider First Line Business Practice Location Address:
2612 F 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:
93301-1816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-6065
Provider Business Practice Location Address Fax Number:
661-324-6066
Provider Enumeration Date:
01/22/2008