Provider First Line Business Practice Location Address:
9501 FLUSHING QUAIL RD SUITES 8, 9 & 10
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:
93312-2660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-9066
Provider Business Practice Location Address Fax Number:
661-589-4209
Provider Enumeration Date:
08/16/2005