Provider First Line Business Practice Location Address:
3545 SAN DIMAS 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:
93301-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-2101
Provider Business Practice Location Address Fax Number:
661-327-2554
Provider Enumeration Date:
02/08/2017