Provider First Line Business Practice Location Address:
7201 SCHIRRA CT STE E
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:
93313-2051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-834-7564
Provider Business Practice Location Address Fax Number:
661-831-8882
Provider Enumeration Date:
09/30/2016