Provider First Line Business Practice Location Address:
7910 DOWNING AVENUE SUITE 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:
93308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-878-9100
Provider Business Practice Location Address Fax Number:
661-878-9101
Provider Enumeration Date:
11/30/2017