Provider First Line Business Practice Location Address:
2603 MOUNT VERNON 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:
93306-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-871-3980
Provider Business Practice Location Address Fax Number:
661-971-3950
Provider Enumeration Date:
08/14/2023