Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
TOWER B #
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-7024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-808-8640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2017