Provider First Line Business Practice Location Address:
2828 H ST STE D
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:
93301-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-416-3336
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2009