Provider First Line Business Practice Location Address:
1430 TRUXTUN AVE STE 400
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:
559-457-5200
Provider Business Practice Location Address Fax Number:
833-678-2781
Provider Enumeration Date:
06/26/2008