Provider First Line Business Practice Location Address:
325 E. FAIRVIEW RD
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:
93307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-427-3993
Provider Business Practice Location Address Fax Number:
661-322-2277
Provider Enumeration Date:
09/16/2015