Emmanuel Victorin

NPI #1790230167 in Berrien Springs, Michigan

Provider Information

NPI Number: 1790230167
Entity Type: Individual
Name: Emmanuel Victorin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 16, 2016
Last Updated: Aug 16, 2016

Practice Location

Address: 9846 ROSEHILL RD
Address 2: APT P31
City: Berrien Springs
State: Michigan
ZIP Code: 49103-1292
Phone: (301) 273-8196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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