Provider First Line Business Practice Location Address:
2700 F ST STE 100
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:
93301-1849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-325-5513
Provider Business Practice Location Address Fax Number:
661-325-3304
Provider Enumeration Date:
06/03/2020