Provider First Line Business Practice Location Address:
5143 OFFICE PARK DR
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:
93309-0660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-325-4741
Provider Business Practice Location Address Fax Number:
661-325-7631
Provider Enumeration Date:
10/15/2007