Provider First Line Business Practice Location Address:
8720 HARRIS RD UNIT 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:
93311-9846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-917-2005
Provider Business Practice Location Address Fax Number:
805-917-2003
Provider Enumeration Date:
06/06/2019