Provider First Line Business Practice Location Address:
6700 NILES ST 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:
93306-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-999-1170
Provider Business Practice Location Address Fax Number:
661-999-1171
Provider Enumeration Date:
02/07/2022