Provider First Line Business Practice Location Address:
5060 CALIFORNIA AVE STE 620
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:
93309-7073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-520-5390
Provider Business Practice Location Address Fax Number:
661-447-4280
Provider Enumeration Date:
05/23/2016