Provider First Line Business Practice Location Address:
5603 AUBURN ST UNIT B
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:
93306-2979
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-2189
Provider Business Practice Location Address Fax Number:
661-327-4350
Provider Enumeration Date:
10/18/2022