Individual
DR. CHANTALE NGUM NDIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3000 S TEXAS AVE, BRYAN, TX 77802-3121
(979) 822-7344
Mailing address
13526 GAINESWAY DR, CYPRESS, TX 77429-5194
(713) 922-7147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67722
TX
Other
Enumeration date
02/07/2022
Last updated
12/21/2022
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