Provider First Line Business Practice Location Address:
1430 TRUXTUN AVE FL 4
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:
93301-5246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-635-3050
Provider Business Practice Location Address Fax Number:
661-869-1503
Provider Enumeration Date:
08/30/2006