Provider First Line Business Practice Location Address:
4100 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
STE 390
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0657
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-7497
Provider Business Practice Location Address Fax Number:
661-327-7531
Provider Enumeration Date:
05/31/2005