Provider First Line Business Practice Location Address:
5555 BUSINESS PARK S STE 230
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:
93309-1678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-489-3500
Provider Business Practice Location Address Fax Number:
661-489-3553
Provider Enumeration Date:
04/28/2020