Provider First Line Business Practice Location Address:
4110 GARNSEY LN
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:
93309-1740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-5310
Provider Business Practice Location Address Fax Number:
661-861-0023
Provider Enumeration Date:
10/24/2018