Provider First Line Business Practice Location Address:
3211 PICO 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:
93306-3531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-5230
Provider Business Practice Location Address Fax Number:
661-872-3176
Provider Enumeration Date:
11/30/2018