Provider First Line Business Practice Location Address:
3737 SAN DIMAS ST STE 101
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:
93301-5733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-558-4649
Provider Business Practice Location Address Fax Number:
661-378-9222
Provider Enumeration Date:
05/14/2022