Provider First Line Business Practice Location Address:
5701 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
220 -#012
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-228-0612
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2024