Provider First Line Business Practice Location Address:
2228 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:
93301-3603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-3091
Provider Business Practice Location Address Fax Number:
661-206-4063
Provider Enumeration Date:
04/20/2015