Provider First Line Business Practice Location Address:
1600 E BELLE TERRACE AVE
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:
93307-3871
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-3908
Provider Business Practice Location Address Fax Number:
661-322-5003
Provider Enumeration Date:
07/02/2026