Provider First Line Business Practice Location Address:
9300 STOCKDALE HWY
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:
93311-3613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-665-0505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2007