Provider First Line Business Practice Location Address:
5301 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-6200
Provider Business Practice Location Address Fax Number:
661-323-6223
Provider Enumeration Date:
09/28/2007