Individual
MRS. MARICEL GAJONERA JUMAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(281) 420-8600
Mailing address
9327 FAIRFIELD OAKS LN, PORTER, TX 77365-7067
(281) 866-5938
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
AP146079
TX
363LA2100X
Acute Care Nurse Practitioner
AP146079
TX
Other
Enumeration date
06/17/2020
Last updated
12/23/2022
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