Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVENUE
Provider Second Line Business Practice Location Address:
TOWER B, 2ND FLOOR SUITE 1121
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:
424-341-9658
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2016