Provider First Line Business Practice Location Address:
1716 OAK ST STE 7
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:
93301-3040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-662-7104
Provider Business Practice Location Address Fax Number:
661-348-4287
Provider Enumeration Date:
05/22/2024