Provider First Line Business Practice Location Address:
2601 OSWELL ST STE 105
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:
93306-3101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-871-5908
Provider Business Practice Location Address Fax Number:
661-324-0830
Provider Enumeration Date:
08/22/2016