Provider First Line Business Practice Location Address:
1300 W. HOLLY ST.
Provider Second Line Business Practice Location Address:
STE. C
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-671-1809
Provider Business Practice Location Address Fax Number:
360-738-3014
Provider Enumeration Date:
04/26/2007