Provider First Line Business Practice Location Address:
3865 STOCKDALE HWY
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:
93309-2188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-2875
Provider Business Practice Location Address Fax Number:
661-397-8882
Provider Enumeration Date:
11/08/2006