Provider First Line Business Practice Location Address:
600 BERNARD 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:
93305-3020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-325-1817
Provider Business Practice Location Address Fax Number:
661-325-9329
Provider Enumeration Date:
10/05/2016