Provider First Line Business Practice Location Address:
3733 SAN DIMAS ST
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:
93301-1407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-353-5400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006