Provider First Line Business Practice Location Address:
9300 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-663-3700
Provider Business Practice Location Address Fax Number:
661-663-3737
Provider Enumeration Date:
09/21/2006