Provider First Line Business Practice Location Address:
6640 WIBLE RD
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:
93313-5577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-885-8850
Provider Business Practice Location Address Fax Number:
661-885-8851
Provider Enumeration Date:
09/05/2023