Provider First Line Business Practice Location Address:
8307 BRIMHALL RD
Provider Second Line Business Practice Location Address:
STE 1707
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-587-8990
Provider Business Practice Location Address Fax Number:
661-587-8980
Provider Enumeration Date:
02/26/2017