Provider First Line Business Practice Location Address:
8619 GRANDY ST UNIT B
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:
93314-7512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-859-7871
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2025