Individual
MS. DAYANA NOEMI JACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
102 MEDICAL PARK LN STE A, HUNTSVILLE, TX 77340-4975
(936) 294-0971
(936) 294-0977
Mailing address
6518 HARTWICK RD, HOUSTON, TX 77016-1412
(713) 357-8807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1061192
TX
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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