Provider First Line Business Practice Location Address:
211 OAKBANK RD
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:
93304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-803-6641
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2025