Provider First Line Business Practice Location Address:
4550 CALIFORNIA AVE STE 500
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:
93309-7020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-587-8110
Provider Business Practice Location Address Fax Number:
661-587-8220
Provider Enumeration Date:
10/01/2008