Provider First Line Business Practice Location Address:
3100 NW BUCKLIN HILL RD STE 122
Provider Second Line Business Practice Location Address:
DR. FARRELL JAMES
Provider Business Practice Location Address City Name:
SILVERDALE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-613-0123
Provider Business Practice Location Address Fax Number:
360-613-5432
Provider Enumeration Date:
11/29/2006