Provider First Line Business Practice Location Address:
5397 TRUXTUN AVE
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:
93309-0641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-634-9900
Provider Business Practice Location Address Fax Number:
661-634-0973
Provider Enumeration Date:
08/09/2006