Provider First Line Business Practice Location Address:
717 CRAWFORD ST
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:
93305-2611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-348-2818
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2025