Provider First Line Business Practice Location Address:
899 WEST 12TH AVENUE
Provider Second Line Business Practice Location Address:
JPP ROOM 2449, VANCOUVER GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
BRITISH COLUMBIA
Provider Business Practice Location Address Postal Code:
V5Z0A3
Provider Business Practice Location Address Country Code:
CM
Provider Business Practice Location Address Telephone Number:
604-551-7952
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2018