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:
BC
Provider Business Practice Location Address Postal Code:
V0K 2E0
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
250-395-3000
Provider Business Practice Location Address Fax Number:
250-395-3055
Provider Enumeration Date:
01/20/2010