Provider First Line Business Practice Location Address:
1430 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 300
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:
661-326-6490
Provider Business Practice Location Address Fax Number:
661-322-1418
Provider Enumeration Date:
03/09/2007