Provider First Line Business Practice Location Address:
2700 F ST STE 210
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:
93301-1850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-2229
Provider Business Practice Location Address Fax Number:
661-742-1644
Provider Enumeration Date:
10/04/2018