Provider First Line Business Practice Location Address:
9320 COBBLE MOUNTAIN RD
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:
93313-5373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-397-0885
Provider Business Practice Location Address Fax Number:
661-855-4409
Provider Enumeration Date:
05/13/2019