Provider First Line Business Practice Location Address:
4208 ROSEDALE HWY # 302-248
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:
93308-6170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-279-8373
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2023