Provider First Line Business Practice Location Address:
4800 STOCKDALE HWY STE 404
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:
93309-2677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-310-3095
Provider Business Practice Location Address Fax Number:
661-877-9598
Provider Enumeration Date:
12/03/2020