Provider First Line Business Practice Location Address:
1120 21ST ST STE ABC
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:
93301-4613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6740
Provider Business Practice Location Address Fax Number:
661-322-1050
Provider Enumeration Date:
07/15/2021