Provider First Line Business Practice Location Address:
5925 TRUXTUN AVE STE B
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:
93309-0434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-324-7979
Provider Business Practice Location Address Fax Number:
661-369-8974
Provider Enumeration Date:
07/29/2021