Provider First Line Business Practice Location Address:
9830 BRIMHALL RD UNIT 100
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:
93312-2790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-829-7300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2015