Provider First Line Business Practice Location Address:
13750 96 AVENUE
Provider Second Line Business Practice Location Address:
DEPT. OF PSYCHIATRY, SURREY MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
SURREY
Provider Business Practice Location Address State Name:
BC
Provider Business Practice Location Address Postal Code:
V3V 1Z2
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
604-581-2211
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2007