Provider First Line Business Practice Location Address:
315 BEARDSLEY AVE APT F
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:
93308-4777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-520-2049
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2025