Individual
GINA A VICTOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
4431 WESTROADS DR, RIVIERA BEACH, FL 33407-1207
(561) 469-1959
Mailing address
4431 WESTROADS DR, RIVIERA BEACH, FL 33407-1207
(561) 469-1959
(561) 584-7510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9346631
FL
Other
Enumeration date
10/17/2019
Last updated
06/24/2020
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