Provider First Line Business Practice Location Address:
3504 STANDARD 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:
93308-5229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-403-5183
Provider Business Practice Location Address Fax Number:
661-407-2648
Provider Enumeration Date:
01/07/2025