Provider First Line Business Practice Location Address:
33 S REAL RD STE 8-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:
93309-2135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-204-9075
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2025