Provider First Line Business Practice Location Address:
8501 BRIMHALL RD
Provider Second Line Business Practice Location Address:
SUITE#300
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-410-2942
Provider Business Practice Location Address Fax Number:
661-410-0135
Provider Enumeration Date:
01/29/2007