Provider First Line Business Practice Location Address:
7910 DOWNING 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:
93308-5016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-336-2555
Provider Business Practice Location Address Fax Number:
661-878-9101
Provider Enumeration Date:
10/20/2022