Provider First Line Business Practice Location Address:
2251 MOUNT VERNON AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-885-6060
Provider Business Practice Location Address Fax Number:
661-885-6085
Provider Enumeration Date:
09/10/2021