Provider First Line Business Practice Location Address:
4800 STOCKDALE HWY STE 403
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:
93309-2677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-550-3342
Provider Business Practice Location Address Fax Number:
559-421-1078
Provider Enumeration Date:
10/22/2020