Provider First Line Business Practice Location Address:
2920 F ST
Provider Second Line Business Practice Location Address:
SUITE F 11
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-434-3415
Provider Business Practice Location Address Fax Number:
888-498-7692
Provider Enumeration Date:
05/26/2014