Provider First Line Business Practice Location Address:
SUITE 504, 44-46 PORTLAND STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DARTMOUTH
Provider Business Practice Location Address State Name:
NOVA SCOTIA
Provider Business Practice Location Address Postal Code:
B2Y 1H4
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-420-1878
Provider Business Practice Location Address Fax Number:
902-420-1623
Provider Enumeration Date:
07/14/2009