Provider First Line Business Practice Location Address:
1400 EASTON DR
Provider Second Line Business Practice Location Address:
BUILDING #136B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-358-8648
Provider Business Practice Location Address Fax Number:
877-877-6875
Provider Enumeration Date:
01/27/2025