Provider First Line Business Practice Location Address:
2100 COLLEGE AVE
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:
93305-4172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-4222
Provider Business Practice Location Address Fax Number:
661-868-0841
Provider Enumeration Date:
10/04/2019