Provider First Line Business Practice Location Address:
2525 N CHESTER AVE STE C
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:
93308-1770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-7499
Provider Business Practice Location Address Fax Number:
661-868-4898
Provider Enumeration Date:
12/21/2018