Provider First Line Business Practice Location Address:
5701 YOUNG ST UNIT STE 400
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:
93311-8896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-831-8946
Provider Business Practice Location Address Fax Number:
661-865-0472
Provider Enumeration Date:
12/17/2025