Provider First Line Business Practice Location Address:
13061 ROSEDALE HWY STE G-560
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:
93314-7612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-214-9767
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2025