Individual
MIRLENE SAINT VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
411 SW DAUPHIN AVE, PORT ST LUCIE, FL 34953-5853
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA57514
FL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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