Provider First Line Business Practice Location Address:
4705 NEW HORIZON BLVD STE 7
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:
93313-2369
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-833-3340
Provider Business Practice Location Address Fax Number:
800-401-9768
Provider Enumeration Date:
02/13/2006