Provider First Line Business Practice Location Address:
2215 TRUXTUN AVE STE 100
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:
93301-3602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-840-9270
Provider Business Practice Location Address Fax Number:
661-864-7848
Provider Enumeration Date:
07/10/2006