Provider First Line Business Practice Location Address:
8001 HERMOSA RD
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:
93307-9182
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-215-7500
Provider Business Practice Location Address Fax Number:
661-215-7655
Provider Enumeration Date:
11/21/2022