Provider First Line Business Practice Location Address:
6401 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:
93309-0613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-616-1671
Provider Business Practice Location Address Fax Number:
661-616-1672
Provider Enumeration Date:
05/10/2018