Provider First Line Business Practice Location Address:
8708 BRECKENRIDGE RD
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:
93306-6930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-794-3449
Provider Business Practice Location Address Fax Number:
888-246-3928
Provider Enumeration Date:
11/26/2025