Provider First Line Business Practice Location Address:
2838 OSWELL 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:
93306-2704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-377-1700
Provider Business Practice Location Address Fax Number:
661-616-9199
Provider Enumeration Date:
03/01/2006