Provider First Line Business Practice Location Address:
8327 BRIMHALL RD
Provider Second Line Business Practice Location Address:
SUITE 703
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-4048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-679-3590
Provider Business Practice Location Address Fax Number:
661-695-6900
Provider Enumeration Date:
08/05/2007