Provider First Line Business Practice Location Address:
6105 CAMP 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:
93307-6404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-224-1678
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2024