Provider First Line Business Practice Location Address:
1811 OAK ST STE 150
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:
93301-3064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-241-4089
Provider Business Practice Location Address Fax Number:
661-365-0152
Provider Enumeration Date:
08/22/2023