Provider First Line Business Practice Location Address:
5531 BUSINESS PARK S STE 101
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:
93309-1668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-491-1900
Provider Business Practice Location Address Fax Number:
661-404-4831
Provider Enumeration Date:
07/15/2020