Provider First Line Business Practice Location Address:
8327 BRIMHALL RD STE 702
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:
93312-4051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-535-8990
Provider Business Practice Location Address Fax Number:
855-804-5393
Provider Enumeration Date:
09/06/2012