Individual
TRIEU DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7909
Mailing address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PR 374
FL
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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