Provider First Line Business Practice Location Address:
1600 E 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:
93305-5432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-322-9199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2019