Provider First Line Business Practice Location Address:
9500 STOCKDALE HWY STE 100
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:
93311-3621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-840-2222
Provider Business Practice Location Address Fax Number:
661-840-2222
Provider Enumeration Date:
04/06/2010