Provider First Line Business Practice Location Address:
9610 STOCKDALE HWY UNIT C
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:
93311-3626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-544-3352
Provider Business Practice Location Address Fax Number:
661-544-3432
Provider Enumeration Date:
04/07/2014