Provider First Line Business Practice Location Address:
2228 JAMES ST
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:
98225-4142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-527-1030
Provider Business Practice Location Address Fax Number:
360-734-1690
Provider Enumeration Date:
09/24/2007