Provider First Line Business Practice Location Address:
1111 COLUMBUS ST STE 3000
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:
93305-1939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-8300
Provider Business Practice Location Address Fax Number:
661-868-8317
Provider Enumeration Date:
10/23/2014