Provider First Line Business Practice Location Address:
190 HORSE LAKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
100 MILE HOUSE
Provider Business Practice Location Address State Name:
BRITISH COLUMBIA
Provider Business Practice Location Address Postal Code:
V0K 2E0
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
12503953000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2012