Provider First Line Business Practice Location Address:
2901 S H 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:
93304-5602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-326-0485
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2020