Provider First Line Business Practice Location Address:
5300 CALIFORNIA AVE # 400
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:
93309-1664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-282-9027
Provider Business Practice Location Address Fax Number:
661-283-0128
Provider Enumeration Date:
12/08/2022