Provider First Line Business Practice Location Address:
1527 19TH ST STE 220
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:
93301-4466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-310-3500
Provider Business Practice Location Address Fax Number:
661-310-2452
Provider Enumeration Date:
06/24/2020