Provider First Line Business Practice Location Address:
4450 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
STE K #212
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-283-4964
Provider Business Practice Location Address Fax Number:
661-869-2003
Provider Enumeration Date:
01/19/2012