Provider First Line Business Practice Location Address:
2920 H ST STE 101
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:
93301-1926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-237-8200
Provider Business Practice Location Address Fax Number:
661-325-3929
Provider Enumeration Date:
04/26/2016