Individual
MR. NDIP NCHOUNG TIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE-LPN
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(937) 241-6530
Mailing address
4711 BLUE SPRUCE CT, DAYTON, OH 45424-4638
(937) 241-6530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
118682
OH
164W00000X
Licensed Practical Nurse
LPN1008767
DC
Other
Enumeration date
12/09/2009
Last updated
04/13/2023
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