Provider First Line Business Practice Location Address:
9500 STOCKDALE HWY STE 200
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:
93311-3621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-1431
Provider Business Practice Location Address Fax Number:
661-654-8340
Provider Enumeration Date:
03/28/2007