Provider First Line Business Practice Location Address:
2445 SPRUCE ST
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:
93301-2705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
657-333-5591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2025