Provider First Line Business Practice Location Address:
1025 DOLORES 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:
93305-5940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-394-9477
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2024