Provider First Line Business Practice Location Address:
6850 S UNION 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:
93307-5711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-487-4004
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2021