Provider First Line Business Practice Location Address:
5121 STOCKDALE HWY STE 275
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:
93309-2667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-248-5239
Provider Business Practice Location Address Fax Number:
661-248-6463
Provider Enumeration Date:
07/02/2026