Provider First Line Business Practice Location Address:
2110 TRUXTUN AVE STE 400
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:
93301-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-425-7139
Provider Business Practice Location Address Fax Number:
661-427-2310
Provider Enumeration Date:
10/15/2010