Provider First Line Business Practice Location Address:
1326 E CALIFORNIA 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:
93307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-493-0652
Provider Business Practice Location Address Fax Number:
844-201-1974
Provider Enumeration Date:
11/21/2014