Provider First Line Business Practice Location Address:
9900 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311-3632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-663-0300
Provider Business Practice Location Address Fax Number:
661-663-0903
Provider Enumeration Date:
12/14/2005