Provider First Line Business Practice Location Address:
1527 19TH ST.
Provider Second Line Business Practice Location Address:
#216
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-1800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/28/2024