Provider First Line Business Practice Location Address:
5701 TRUXTUN AVE STE 220
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:
93309-0402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-407-2708
Provider Business Practice Location Address Fax Number:
661-695-1104
Provider Enumeration Date:
05/16/2025