Provider First Line Business Practice Location Address:
5531 BUSINESS PARK S STE 202A
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:
93309-1667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-619-1271
Provider Business Practice Location Address Fax Number:
661-404-4925
Provider Enumeration Date:
11/09/2018