Provider First Line Business Practice Location Address:
625 34TH STREET
Provider Second Line Business Practice Location Address:
SUITE 100 AND 200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-678-2781
Provider Business Practice Location Address Fax Number:
661-368-0618
Provider Enumeration Date:
06/04/2021