NICHOLAS ALBERT TEDJAKESUMA

NORWALK, CA
NPI1952922742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  82043)
Enumeration Date2020-05-03
Last Update Date2023-09-18
Business Address
NICHOLAS ALBERT TEDJAKESUMA Pharm D
11930 STUDEBAKER RD
NORWALK, CA 90650-7548
Phone number: 562-864-8138
Mailing Address
NICHOLAS ALBERT TEDJAKESUMA Pharm D
6100 PACIFIC BLVD
HUNTINGTON PARK, CA 90255-2923
Phone number: 323-826-9775