Provider First Line Business Practice Location Address:
530 4TH 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:
93304-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-805-1755
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2025