Provider First Line Business Practice Location Address:
14621 ROSEDALE HWY
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:
93314-9493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-641-4114
Provider Business Practice Location Address Fax Number:
661-253-3113
Provider Enumeration Date:
05/19/2020