Provider First Line Business Practice Location Address:
2615 EYE 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:
93301-2006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-395-3000
Provider Business Practice Location Address Fax Number:
661-323-4703
Provider Enumeration Date:
06/30/2006