Provider First Line Business Practice Location Address:
9508 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-241-6700
Provider Business Practice Location Address Fax Number:
661-863-2893
Provider Enumeration Date:
06/06/2007