Provider First Line Business Practice Location Address:
3900 TRUXTON AVENUE
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:
93309-0606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-995-1909
Provider Business Practice Location Address Fax Number:
661-322-9313
Provider Enumeration Date:
03/26/2007