Provider First Line Business Practice Location Address:
2701 CALLOWAY DR
Provider Second Line Business Practice Location Address:
402
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-3427
Provider Business Practice Location Address Fax Number:
661-589-4756
Provider Enumeration Date:
07/30/2008