Provider First Line Business Practice Location Address:
5080 CALIFORNIA AVE STE 250
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:
93309-0732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-258-3240
Provider Business Practice Location Address Fax Number:
855-568-2494
Provider Enumeration Date:
10/11/2021