Provider First Line Business Practice Location Address:
5500 MING AVE STE 170
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:
93309-4623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-695-5990
Provider Business Practice Location Address Fax Number:
661-735-5863
Provider Enumeration Date:
04/22/2020