Provider First Line Business Practice Location Address:
1001 TOWER WAY
Provider Second Line Business Practice Location Address:
SUITE 150B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-4499
Provider Business Practice Location Address Fax Number:
661-327-4381
Provider Enumeration Date:
09/21/2006