Provider First Line Business Practice Location Address:
5923 OFFICE CENTER CT.
Provider Second Line Business Practice Location Address:
STE. 100
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:
661-324-4100
Provider Business Practice Location Address Fax Number:
661-324-4600
Provider Enumeration Date:
11/10/2016