Provider First Line Business Practice Location Address:
5401 BUSINESS PARK S STE 107
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:
93309-0713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-320-4100
Provider Business Practice Location Address Fax Number:
661-899-5600
Provider Enumeration Date:
11/18/2020