Provider First Line Business Practice Location Address:
2828 H ST STE E
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:
93301-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-335-7755
Provider Business Practice Location Address Fax Number:
661-335-7766
Provider Enumeration Date:
05/16/2012