Provider First Line Business Practice Location Address:
2105 24TH ST STE 200
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:
93301-3753
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-666-5000
Provider Business Practice Location Address Fax Number:
661-344-4266
Provider Enumeration Date:
05/26/2020