Provider First Line Business Practice Location Address:
8305 BRIMHALL ROAD
Provider Second Line Business Practice Location Address:
SUITE #1602
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-829-7500
Provider Business Practice Location Address Fax Number:
661-829-7470
Provider Enumeration Date:
11/16/2018