Provider First Line Business Practice Location Address:
PO BOX 1000
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:
93302-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-447-6094
Provider Business Practice Location Address Fax Number:
661-391-7978
Provider Enumeration Date:
02/28/2007