Provider First Line Business Practice Location Address:
5121 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
STE 275
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-2656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6601
Provider Business Practice Location Address Fax Number:
661-868-6666
Provider Enumeration Date:
08/06/2007