Provider First Line Business Practice Location Address:
6001 TRUXTUN AVE STE 100&110
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:
93309-0679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-509-5901
Provider Business Practice Location Address Fax Number:
661-348-4718
Provider Enumeration Date:
07/18/2011