Provider First Line Business Practice Location Address:
9501 FLUSHING QUAIL RD STE 10
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:
93312-2699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-589-9066
Provider Business Practice Location Address Fax Number:
661-589-4209
Provider Enumeration Date:
05/17/2023