Provider First Line Business Practice Location Address:
3800 MALL VIEW ROAD
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:
93306-3028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-459-1900
Provider Business Practice Location Address Fax Number:
661-746-9197
Provider Enumeration Date:
08/06/2021