Provider First Line Business Practice Location Address:
2110 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
STE 300
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-716-2673
Provider Business Practice Location Address Fax Number:
661-716-2677
Provider Enumeration Date:
12/20/2007