Provider First Line Business Practice Location Address:
4120 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-631-8388
Provider Business Practice Location Address Fax Number:
661-326-8498
Provider Enumeration Date:
11/30/2006