Provider First Line Business Practice Location Address:
4300 STINE RD
Provider Second Line Business Practice Location Address:
STE 108
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-834-2300
Provider Business Practice Location Address Fax Number:
661-834-2635
Provider Enumeration Date:
07/11/2006