Provider First Line Business Practice Location Address:
4200 TRUXTON AVE SUITE 105
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-703-8333
Provider Business Practice Location Address Fax Number:
888-601-9090
Provider Enumeration Date:
02/19/2009