Individual
ANGELA THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2627 SW RIVERSIDE AVE, JACKSONVILLE, FL 32204-4717
(904) 308-7372
Mailing address
2627 SW RIVERSIDE AVE, JACKSONVILLE, FL 32204-4717
(904) 308-7372
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
40492
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2024
Last updated
08/22/2024
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