Provider First Line Business Practice Location Address:
7129 YUMA WAY
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:
93308-6417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-245-9232
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2025