Provider First Line Business Practice Location Address:
6303 THORTON 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:
93313-6135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-298-8437
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2024