Provider First Line Business Practice Location Address:
9900 STOCKDALE HWY STE 208
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:
93311-3634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-735-3915
Provider Business Practice Location Address Fax Number:
661-735-3919
Provider Enumeration Date:
07/30/2006