Provider First Line Business Practice Location Address:
8337 BRIMHALL RD # 1200
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:
93312-4405
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:
661-327-4757
Provider Enumeration Date:
07/28/2014