Provider First Line Business Practice Location Address:
4800 DISTRICT BLVD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93313-2325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-835-0364
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2015