Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LINE ORNELLA FASSU SIANKAM
ActiveLINE ORNELLA FASSU SIANKAM is a Pharmacist Clinician (PhC) healthcare provider located in GEORGETOWN, Texas. NPI 1932646502 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · GEORGETOWN, TX
Registration Details
- NPI Number
- 1932646502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2017 (9.5952556839073 yrs)
- Last Updated
- Jun 30, 2025
- Licenses
-
76080 (CA)62350 (TX)
Practice Information
- Address
-
2423 WILLIAMS DR STE 105GEORGETOWN, TX, 786283200Browse TX providers · Browse ZIP 78628
- Phone
- 8778005722
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.