Provider First Line Business Practice Location Address:
3917 STOCKDALE HWY
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:
93309-2019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-886-7461
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2020