Provider First Line Business Practice Location Address:
9908 BRIMHALL RD
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:
93312-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-321-3288
Provider Business Practice Location Address Fax Number:
661-847-3267
Provider Enumeration Date:
12/13/2011