Provider First Line Business Practice Location Address:
420 17TH 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:
93301-4918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-603-7183
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/07/2024