Provider First Line Business Practice Location Address:
276 S MILL ST STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEHACHAPI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93561-1678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-947-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2025