Provider First Line Business Practice Location Address:
4000 EMPIRE DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-8000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2006