Provider First Line Business Practice Location Address:
125 EL TEJON AVE
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:
93308-3409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-829-5475
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2020