Provider First Line Business Practice Location Address:
9820 BRIMHALL RD
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:
93312-2787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-213-3000
Provider Business Practice Location Address Fax Number:
661-213-3101
Provider Enumeration Date:
02/13/2017