Provider First Line Business Practice Location Address:
12505 WOODSON BRIDGE DR
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:
93311-5105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-472-3122
Provider Business Practice Location Address Fax Number:
661-665-2998
Provider Enumeration Date:
01/24/2020