Provider First Line Business Practice Location Address:
2323 16TH ST
Provider Second Line Business Practice Location Address:
STE503
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-498-9893
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2015