Provider First Line Business Practice Location Address:
1001 E PLANZ RD
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:
93307-4421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-903-5855
Provider Business Practice Location Address Fax Number:
661-491-9177
Provider Enumeration Date:
02/05/2020