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Individual

JESSY A MAJEKODUMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1515 HOLOCOMBE BLVDQ, HOUSTON, TX 77030-7703
(713) 745-6947
Mailing address
15200 MEMORIAL DR UNIT 3212, HOUSTON, TX 77079-2658
(512) 779-7545

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139313
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278904
TX
Enumeration date
03/24/2022
Last updated
03/24/2022
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