Provider First Line Business Practice Location Address:
3631 CALIFORNIA AVE UNIT C
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:
93309-1091
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-612-2285
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2026