Provider First Line Business Practice Location Address:
1314 34TH ST STE A
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:
93301-2152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-9411
Provider Business Practice Location Address Fax Number:
661-324-1561
Provider Enumeration Date:
06/16/2022