Provider First Line Business Practice Location Address:
4200 TRUXTUN AVE STE 202
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:
93309-0523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-912-0111
Provider Business Practice Location Address Fax Number:
661-742-1606
Provider Enumeration Date:
08/30/2016