Provider First Line Business Practice Location Address:
9860 BRIMHALL RD.
Provider Second Line Business Practice Location Address:
#100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-588-2525
Provider Business Practice Location Address Fax Number:
661-588-2222
Provider Enumeration Date:
05/31/2009