Provider First Line Business Practice Location Address:
600 34TH 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:
93301-2208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-515-9683
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2019