Provider First Line Business Practice Location Address:
1430 TRUXTUN AVE STE 720
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:
93301-5220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-717-6775
Provider Business Practice Location Address Fax Number:
866-812-6912
Provider Enumeration Date:
01/12/2022