Provider First Line Business Practice Location Address:
5662 ROBERTS STREET
Provider Second Line Business Practice Location Address:
APT 118
Provider Business Practice Location Address City Name:
HALIFAX
Provider Business Practice Location Address State Name:
NS
Provider Business Practice Location Address Postal Code:
B3K 0E3
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-213-3545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2024