Provider First Line Business Practice Location Address:
6001 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
STE 120A
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-1352
Provider Business Practice Location Address Fax Number:
661-704-4238
Provider Enumeration Date:
10/04/2006