Provider First Line Business Practice Location Address:
2100 24TH ST STE 4
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:
93301-3746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-742-1966
Provider Business Practice Location Address Fax Number:
661-742-1976
Provider Enumeration Date:
07/31/2019