Provider First Line Business Practice Location Address:
8333 BRIMHALL RD BLDG 1000
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:
93312-2243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-695-6777
Provider Business Practice Location Address Fax Number:
661-695-6767
Provider Enumeration Date:
04/17/2017