Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE STE 210B
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:
93309-7080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-342-7378
Provider Business Practice Location Address Fax Number:
661-424-7801
Provider Enumeration Date:
03/23/2021