Provider First Line Business Practice Location Address:
11006 BRIMHALL RD
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:
93312-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-706-0180
Provider Business Practice Location Address Fax Number:
661-215-6622
Provider Enumeration Date:
07/10/2009