Provider First Line Business Practice Location Address:
3322 FILLMORE AVE
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:
93306-6314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-825-3772
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2021