Provider First Line Business Practice Location Address:
3800 NILES ST STE 2
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:
93306-4593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-858-3322
Provider Business Practice Location Address Fax Number:
661-412-4017
Provider Enumeration Date:
07/28/2021