Provider First Line Business Practice Location Address:
1430 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-635-3050
Provider Business Practice Location Address Fax Number:
661-326-1347
Provider Enumeration Date:
11/12/2009