Provider First Line Business Practice Location Address:
6001- D TRUXTUN AVE
Provider Second Line Business Practice Location Address:
STE 490
Provider Business Practice Location Address City Name:
BAKERSFIELD (AND VICINITY)
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:
661-322-9242
Provider Business Practice Location Address Fax Number:
844-464-0640
Provider Enumeration Date:
08/11/2017