Provider First Line Business Practice Location Address:
5100 CALIFORNIA AVENUE
Provider Second Line Business Practice Location Address:
SUITES 101 AND 125
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:
661-228-0280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/09/2017