Provider First Line Business Practice Location Address:
8720 HARRIS RD STE 105
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:
93311-9837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-388-2690
Provider Business Practice Location Address Fax Number:
661-393-8200
Provider Enumeration Date:
04/20/2021