Provider First Line Business Practice Location Address:
1200 HARRIS AVENUE, SUITE 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-7145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
306-927-7307
Provider Business Practice Location Address Fax Number:
360-927-7307
Provider Enumeration Date:
12/04/2007