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:
661-836-5004
Provider Business Practice Location Address Fax Number:
661-836-5088
Provider Enumeration Date:
09/02/2011