Individual
ETHEL-SONIA TIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
4606 AMESBURY DR APT 338, DALLAS, TX 75206-4836
(301) 364-2675
Mailing address
8709 63RD AVE, BERWYN HEIGHTS, MD 20740-2763
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1170179
TX
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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