Provider First Line Business Practice Location Address:
1817 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:
93301-5008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-325-6800
Provider Business Practice Location Address Fax Number:
661-325-2409
Provider Enumeration Date:
06/20/2005