Provider First Line Business Practice Location Address:
9908 BRIMHALL RD STE 103
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:
93312-3179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-843-6464
Provider Business Practice Location Address Fax Number:
661-282-8417
Provider Enumeration Date:
02/22/2010