Provider First Line Business Practice Location Address:
2725 IDAHO ST
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:
93305-2316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-262-8343
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2022