Provider First Line Business Practice Location Address:
2128 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:
93301-3702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-633-9080
Provider Business Practice Location Address Fax Number:
661-633-9081
Provider Enumeration Date:
01/24/2012