Provider First Line Business Practice Location Address:
8307 BRIMHALL RD STE 1706
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:
93312-4343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-467-1477
Provider Business Practice Location Address Fax Number:
661-467-1480
Provider Enumeration Date:
03/11/2016