Provider First Line Business Practice Location Address:
1201 23RD 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:
93301-2306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-4357
Provider Business Practice Location Address Fax Number:
661-327-1758
Provider Enumeration Date:
12/14/2015