Provider First Line Business Practice Location Address:
221 S MONTCLAIR 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:
93309-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-888-3745
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2020