Provider First Line Business Practice Location Address:
513 W COLUMBUS 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:
93301-5848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-759-5060
Provider Business Practice Location Address Fax Number:
661-579-1536
Provider Enumeration Date:
12/24/2020