Provider First Line Business Practice Location Address:
13061 ROSEDALE HWY STE 591
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:
93314-7612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-745-8017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2025