Provider First Line Business Practice Location Address:
5080 CALIFORNIA AVENUE
Provider Second Line Business Practice Location Address:
SUITE 415
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1994
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-371-2784
Provider Business Practice Location Address Fax Number:
661-491-7004
Provider Enumeration Date:
02/17/2021