Provider First Line Business Practice Location Address:
5500 MING AVE STE 210
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:
93309-9120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-834-8341
Provider Business Practice Location Address Fax Number:
661-834-6095
Provider Enumeration Date:
03/06/2017