Provider First Line Business Practice Location Address:
201 NEW STINE RD
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:
93309-2659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-833-9966
Provider Business Practice Location Address Fax Number:
661-833-6172
Provider Enumeration Date:
11/25/2006