Individual
JUILENE SAINT VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 SW HAINES ST, PORT ST LUCIE, FL 34953-3802
(772) 924-7164
Mailing address
3451 SW HAINES ST, PORT ST LUCIE, FL 34953-3802
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 157402
FL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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