Provider First Line Business Practice Location Address:
5981 UNIVERSITY AV
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALIFAX
Provider Business Practice Location Address State Name:
NOVA SCOTIA
Provider Business Practice Location Address Postal Code:
B3H 1W2
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-494-3868
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2022