Provider First Line Business Practice Location Address:
234 BAKER ST STE 1&2
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:
93305-5856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-7580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2020