Provider First Line Business Practice Location Address:
601 CALIFORNIA AVENUE
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:
93304-1611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-6086
Provider Business Practice Location Address Fax Number:
661-324-6301
Provider Enumeration Date:
08/17/2006