Provider First Line Business Practice Location Address:
2920 F ST
Provider Second Line Business Practice Location Address:
SUITE H-12
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-201-1449
Provider Business Practice Location Address Fax Number:
661-327-4536
Provider Enumeration Date:
01/12/2011