Provider First Line Business Practice Location Address:
4300 ASHE RD STE 115
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:
93313-2033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-829-4800
Provider Business Practice Location Address Fax Number:
661-243-8702
Provider Enumeration Date:
09/08/2014