Provider First Line Business Practice Location Address:
4550 CALIFORNIA 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:
93309-7012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-336-0920
Provider Business Practice Location Address Fax Number:
661-377-0781
Provider Enumeration Date:
01/18/2007