Provider First Line Business Practice Location Address:
2300 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-4591
Provider Business Practice Location Address Fax Number:
661-323-8603
Provider Enumeration Date:
11/03/2010