Provider First Line Business Practice Location Address:
1619 S H ST
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:
93304-4931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-831-2400
Provider Business Practice Location Address Fax Number:
661-831-2430
Provider Enumeration Date:
06/18/2010