Provider First Line Business Practice Location Address:
2535 16TH ST
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:
93301-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-308-8777
Provider Business Practice Location Address Fax Number:
661-374-4252
Provider Enumeration Date:
10/11/2021