Provider First Line Business Practice Location Address:
2212 F 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:
93301-3828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-623-4112
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2023