Provider First Line Business Practice Location Address:
8311 BRIMHALL RD STE 1904
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:
93312-4367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-679-6238
Provider Business Practice Location Address Fax Number:
661-679-6243
Provider Enumeration Date:
11/06/2013