Individual
ANDREW DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 GRAY WOLF TRL, PONTE VEDRA, FL 32081-6052
(904) 217-2015
Mailing address
35 GRAY WOLF TRL, PONTE VEDRA, FL 32081-6052
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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