Provider First Line Business Practice Location Address:
5300 LENNOX AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-345-2345
Provider Business Practice Location Address Fax Number:
818-758-8015
Provider Enumeration Date:
01/09/2017