Provider First Line Business Practice Location Address:
4110 PLANZ ROAD
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:
93309-5993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-7286
Provider Business Practice Location Address Fax Number:
661-396-1033
Provider Enumeration Date:
09/01/2016