Provider First Line Business Practice Location Address:
3939 BERNARD ST
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306-3168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-230-6230
Provider Business Practice Location Address Fax Number:
661-234-8895
Provider Enumeration Date:
04/26/2016