Provider First Line Business Practice Location Address:
3803 UNION 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:
93305-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-321-9206
Provider Business Practice Location Address Fax Number:
661-321-0932
Provider Enumeration Date:
09/29/2010