Provider First Line Business Practice Location Address:
6501 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 800
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-419-6659
Provider Business Practice Location Address Fax Number:
818-559-9571
Provider Enumeration Date:
02/24/2016