Provider First Line Business Practice Location Address:
17801 INDUSTRIAL FARM RD
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:
93308-9599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-391-3910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2019