Provider First Line Business Practice Location Address:
2200 NANTES WAY
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:
93311-1539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-707-8221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2019