Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE, TOWER B 2ND FLOOR
Provider Second Line Business Practice Location Address:
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:
323-546-7784
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2021