Provider First Line Business Practice Location Address:
300 OLD RIVER RD STE 125
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:
93311-9506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-2700
Provider Business Practice Location Address Fax Number:
661-427-4587
Provider Enumeration Date:
01/24/2018