Provider First Line Business Practice Location Address:
6718 HALFWAY ROCK AVE UNIT B
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:
93313-6319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-592-6362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2025