Provider First Line Business Practice Location Address:
1830 GOLDEN STATE 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:
93301-1012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-9874
Provider Business Practice Location Address Fax Number:
661-869-6394
Provider Enumeration Date:
01/20/2020