Provider First Line Business Practice Location Address:
1220 OAK STREET
Provider Second Line Business Practice Location Address:
SUITE J #1060
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-235-0566
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2025