Provider First Line Business Practice Location Address:
8335 BRIMHALL RD BLDG 1100
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:
661-432-7851
Provider Business Practice Location Address Fax Number:
661-432-7852
Provider Enumeration Date:
07/31/2014