Provider First Line Business Practice Location Address:
2611 S H ST UNIT C
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:
93304-5606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-741-0990
Provider Business Practice Location Address Fax Number:
661-215-8337
Provider Enumeration Date:
01/03/2025