Provider First Line Business Practice Location Address:
3311 MANOR 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:
93308-1466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-392-0700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2025