Provider First Line Business Practice Location Address:
4100 TRUXTUN AVE STE 200
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:
93309-0656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-632-1538
Provider Business Practice Location Address Fax Number:
661-632-1540
Provider Enumeration Date:
03/26/2020