Provider First Line Business Practice Location Address:
807 UNION AVE STE B
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:
93307-1044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-664-2319
Provider Business Practice Location Address Fax Number:
661-294-5853
Provider Enumeration Date:
01/06/2021