Provider First Line Business Practice Location Address:
820 34TH ST STE 100
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:
93301-2268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-635-1382
Provider Business Practice Location Address Fax Number:
661-322-1069
Provider Enumeration Date:
12/18/2015