Provider First Line Business Practice Location Address:
4550 CALIFORNIA AVENUE
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-716-7118
Provider Business Practice Location Address Fax Number:
661-716-9149
Provider Enumeration Date:
07/18/2015