Provider First Line Business Practice Location Address:
6001-B TRUXTUN AVENUE
Provider Second Line Business Practice Location Address:
SUITE 260
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-323-8100
Provider Business Practice Location Address Fax Number:
661-323-8102
Provider Enumeration Date:
08/21/2009