Provider First Line Business Practice Location Address:
5925 TRUXTUN 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:
93309-0432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-638-2273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2007