Provider First Line Business Practice Location Address:
1300 17TH STREET- SCP BLANTON
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:
93301-4533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-852-5661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2020