Provider First Line Business Practice Location Address:
6600 CHUKKAR LN
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:
93309-1319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-800-5154
Provider Business Practice Location Address Fax Number:
972-800-5154
Provider Enumeration Date:
04/08/2026