Provider First Line Business Practice Location Address:
9900 STOCKDALE HWY STE 107
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:
93311-3633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-664-0600
Provider Business Practice Location Address Fax Number:
661-664-0621
Provider Enumeration Date:
08/30/2006