Individual
MICHELLE NHU QUYNH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2109 66TH ST N, ST PETERSBURG, FL 33710-4711
(727) 342-5226
Mailing address
2109 66TH ST N, ST PETERSBURG, FL 33710-4711
(727) 342-5226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC005942
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
06/11/2021
Last updated
06/28/2021
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