Provider First Line Business Practice Location Address:
102 18TH ST
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:
93301-4925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-238-7008
Provider Business Practice Location Address Fax Number:
661-412-4347
Provider Enumeration Date:
03/20/2025