Provider First Line Business Practice Location Address:
1929 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:
93301-5021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-327-7740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2010