Provider First Line Business Practice Location Address:
6401 TRUXTUN AVE STE B
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:
93309-0674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-9300
Provider Business Practice Location Address Fax Number:
661-327-9301
Provider Enumeration Date:
12/05/2014