Provider First Line Business Practice Location Address:
5980 UNIVERSITY AVE
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:
B3K 6R8
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-470-7755
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2018