Provider First Line Business Practice Location Address:
3838 SAN DIMAS ST BUILDING A SUITE 250
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-5300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2017