Provider First Line Business Practice Location Address:
8200 STOCKDALE HWY STE B1
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:
93311-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-827-8959
Provider Business Practice Location Address Fax Number:
661-827-1779
Provider Enumeration Date:
11/04/2019