Provider First Line Business Practice Location Address:
1820 21ST ST STE 100
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:
93301-3936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-437-1775
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2025