Provider First Line Business Practice Location Address:
1700 MOUNT VERNON AVE
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:
93306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-2334
Provider Business Practice Location Address Fax Number:
661-326-2982
Provider Enumeration Date:
08/16/2006