Provider First Line Business Practice Location Address:
425 E 18TH 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:
93305-5612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-824-3505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2025