Provider First Line Business Practice Location Address:
305 WAR ADMIRAL 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:
93307-5745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-477-0532
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2020