Provider First Line Business Practice Location Address:
5558 CALIFORNIA AVE STE 340
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:
93309-0710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-1577
Provider Business Practice Location Address Fax Number:
661-326-1577
Provider Enumeration Date:
08/22/2022