Provider First Line Business Practice Location Address:
4500 CALIFORNIA AVE STE 100
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:
93309-7030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-0485
Provider Business Practice Location Address Fax Number:
661-326-1455
Provider Enumeration Date:
04/24/2007