Provider First Line Business Practice Location Address:
1125 E CALIFORNIA AVE
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:
93307-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-632-2144
Provider Business Practice Location Address Fax Number:
661-328-4211
Provider Enumeration Date:
04/03/2014