Provider First Line Business Practice Location Address:
6601 STINE RD
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:
93313-9504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-831-7386
Provider Business Practice Location Address Fax Number:
661-243-8896
Provider Enumeration Date:
12/06/2019