Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
TOWER A SUITE 200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-7024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6750
Provider Business Practice Location Address Fax Number:
661-868-6752
Provider Enumeration Date:
03/27/2007