LINE ORNELLA FASSU SIANKAM

GEORGETOWN, TX
NPI1932646502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX  62350)
Additional Taxonomies1835P1300X Pharmacist, Psychiatric
(Licence: CA  76080)
Enumeration Date2017-01-20
Last Update Date2025-06-30
Business Address
LINE ORNELLA FASSU SIANKAM
2423 WILLIAMS DR STE 105
GEORGETOWN, TX 78628-3200
Phone number: 877-800-5722
Mailing Address
LINE ORNELLA FASSU SIANKAM
2423 WILLIAMS DR STE 107
GEORGETOWN, TX 78628-3269
Phone number: 877-800-5722