| NPI | 1679775951 |
|---|---|
| Doing Business As | BAKERSFIELD VARICOSE VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | MARVIN J DERRICK Owner 661-377-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-06-12 |