Provider First Line Business Practice Location Address:
5400 KINNETT 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:
93313-9588
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-703-3297
Provider Business Practice Location Address Fax Number:
661-412-7061
Provider Enumeration Date:
08/21/2020