Provider First Line Business Practice Location Address:
4560 CALIFORNIA AVE STE 110
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:
93309-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-479-7270
Provider Business Practice Location Address Fax Number:
661-479-7278
Provider Enumeration Date:
09/11/2019