Individual
MOURINE NDAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9266 DAIRY CT, ELK GROVE, CA 95624
(209) 274-4911
Mailing address
9266 DAIRY CT, ELK GROVE, CA 95624-3583
(209) 274-4911
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
57600
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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