Provider First Line Business Practice Location Address:
1831 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:
93301-5027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-489-1019
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2024