Provider First Line Business Practice Location Address:
3016 UNION AVE
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:
93305-3442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-550-2080
Provider Business Practice Location Address Fax Number:
661-550-2427
Provider Enumeration Date:
09/16/2024