Provider First Line Business Practice Location Address:
1600 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
FIFTH FLOOR
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-393-3690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2006