Provider First Line Business Practice Location Address:
6200 VICTOR 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:
93308-2983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-484-3611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2023