Provider First Line Business Practice Location Address:
1700 A 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:
93301-3545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-3271
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2019