Provider First Line Business Practice Location Address:
3501 STOCKDALE HWY STE F
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:
93309-2150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-398-3647
Provider Business Practice Location Address Fax Number:
661-398-3684
Provider Enumeration Date:
05/02/2007