Provider First Line Business Practice Location Address:
5101 COMMERCE DR 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:
93309-0412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-3756
Provider Business Practice Location Address Fax Number:
661-327-2332
Provider Enumeration Date:
01/18/2022