Individual
CLARENCE NGUYEN MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST, FAMILY MEDICINE, JACKSONVILLE, FL 32214-5000
(408) 466-3281
Mailing address
2080 CHILD ST FAMILY MEDICINE DEPARTMENT, JACKSONVILLE, FL 32214-5000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
09/22/2023
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