Individual
MS. GISLAINE REINE LAVICTOIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602
(989) 316-8565
Mailing address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704322248
MI
Other
Enumeration date
04/16/2007
Last updated
02/07/2023
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