Provider First Line Business Practice Location Address:
1601 NEW STINE RD
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-3696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-4000
Provider Business Practice Location Address Fax Number:
661-833-4868
Provider Enumeration Date:
02/07/2007