# LINE ORNELLA FASSU SIANKAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932646502
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 62350 | TX | Yes |
| 1835P1300X | Psychiatric Pharmacist | 76080 | CA | — |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 06/30/2025