Provider First Line Business Practice Location Address:
1316 CRAWFORD ST
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:
93305-2827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-417-9588
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2022