GERARD M. VICTORIANO

LAKE CHARLES, LA
NPI1447585583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200317)
Enumeration Date2009-10-07
Last Update Date2009-10-07
Business Address
-- GERARD M. VICTORIANO PA
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5725
Phone number: 337-491-7709
Mailing Address
-- GERARD M. VICTORIANO PA
14050 NW 14TH ST SUITE 190
SUNRISE, FL 33323-2865
Phone number: 800-424-3672
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