Provider First Line Business Practice Location Address:
2120 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:
93301-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-3638
Provider Business Practice Location Address Fax Number:
661-327-2869
Provider Enumeration Date:
02/12/2007