Provider First Line Business Practice Location Address:
9900 STOCKDALE HWY STE 204
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:
93311-3634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-215-6100
Provider Business Practice Location Address Fax Number:
661-215-1879
Provider Enumeration Date:
04/07/2025