Individual
FREDDY TEUMA SONFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 SILVER NAIL RD, WAUKESHA, WI 53188-5355
(263) 513-9221
Mailing address
325 WINDSOR CT UNIT A, SOUTH ELGIN, IL 60177-1959
(630) 456-1815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20436-40
WI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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