Individual
MS. DIANE-AURORE TAKOUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4024 ELKHART RD, GOSHEN, IN 46526-5807
(217) 372-7147
Mailing address
7321 ASPECT DR UNIT 412, GRANGER, IN 46530-7758
(217) 372-7147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027280A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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