Provider First Line Business Practice Location Address:
3-271 INGRAM STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNCAN
Provider Business Practice Location Address State Name:
BRITISH CLUMBIA
Provider Business Practice Location Address Postal Code:
V9L 1P3
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
250-746-7181
Provider Business Practice Location Address Fax Number:
250-746-4202
Provider Enumeration Date:
12/19/2010