Provider First Line Business Practice Location Address:
8501 BRIMHALL RD STE 500
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:
93312-2258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-387-6603
Provider Business Practice Location Address Fax Number:
661-387-6780
Provider Enumeration Date:
02/13/2006