Provider First Line Business Practice Location Address:
3550 Q ST
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-1662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-432-1451
Provider Business Practice Location Address Fax Number:
661-489-5040
Provider Enumeration Date:
09/22/2016