Provider First Line Business Practice Location Address:
2546 S UNION 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:
93307-5009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-244-7037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2025