Provider First Line Business Practice Location Address:
1601 NEW STINE RD, SUITE 255 & 260
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-505-6985
Provider Business Practice Location Address Fax Number:
323-714-0112
Provider Enumeration Date:
02/20/2018