Individual
CHRISTELLE POUANI KOUEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9816 ROCKY FORD CLUB RD, CHARLOTTE, NC 28269-2860
(704) 773-7781
Mailing address
9816 ROCKY FORD CLUB RD, CHARLOTTE, NC 28269-2860
(704) 773-7781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27954
NC
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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