Provider First Line Business Practice Location Address:
WEST CHESTER 2001 28TH STREET
Provider Second Line Business Practice Location Address:
FINANCE ADMINISTRATION, NORTH TOWER, 3RD FLOOR
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-868-6600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/29/2010