Provider First Line Business Practice Location Address:
1401 COMMERCIAL WAY STE 100
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:
93309-0628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-570-1520
Provider Business Practice Location Address Fax Number:
661-552-4533
Provider Enumeration Date:
04/24/2024