STEPHANIE MAKUMI MORENO

GEORGETOWN, TX
NPI1871299263
Former NameSTEPHANIE WANGUI MAKUMI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  1108827)
Enumeration Date2023-02-06
Last Update Date2023-08-16
Business Address
STEPHANIE MAKUMI MORENO AGNP-C
1900 SCENIC DR STE 1114
GEORGETOWN, TX 78626-7724
Phone number: 512-248-2200
Mailing Address
STEPHANIE MAKUMI MORENO AGNP-C
8240 N MOPAC EXPY STE 100
AUSTIN, TX 78759-8869
Phone number: 512-610-5339
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