Provider First Line Business Practice Location Address:
9450 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93311-3654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-665-0500
Provider Business Practice Location Address Fax Number:
661-665-0710
Provider Enumeration Date:
05/28/2014