Provider First Line Business Practice Location Address:
330 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:
93305-5623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-852-5747
Provider Business Practice Location Address Fax Number:
661-852-5789
Provider Enumeration Date:
06/01/2021