Provider First Line Business Practice Location Address:
2951 CENTER 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:
93306-5303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-3206
Provider Business Practice Location Address Fax Number:
661-321-0011
Provider Enumeration Date:
05/07/2012