Provider First Line Business Practice Location Address:
4260 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0691
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-9885
Provider Business Practice Location Address Fax Number:
661-322-7736
Provider Enumeration Date:
05/04/2006