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Individual

MAGDALENA MARRUFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP114173
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219050601
TX
05
219050602
TX
Enumeration date
05/18/2007
Last updated
10/03/2018
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