Individual
IVETTE NAH NGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3036 EXCELSIOR CT, SNELLVILLE, GA 30039-6320
(404) 447-7318
Mailing address
3036 EXCELSIOR CT, SNELLVILLE, GA 30039-6320
(404) 447-7318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030423
GA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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