Provider First Line Business Practice Location Address:
8327 BRIMHALL RD STE 701
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:
93312-4050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-7842
Provider Business Practice Location Address Fax Number:
866-547-8781
Provider Enumeration Date:
06/09/2006