Provider First Line Business Practice Location Address:
1230 2ND 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:
93304-3008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-426-3422
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2022