Provider First Line Business Practice Location Address:
9500 STOCKDALE HIGHWAY
Provider Second Line Business Practice Location Address:
SUITES 100 & 103
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-282-4900
Provider Business Practice Location Address Fax Number:
661-321-0690
Provider Enumeration Date:
09/15/2008