JENNIFER GRINAGE

LEWISTON, ID
NPI1396151395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA1175)
Enumeration Date2014-07-10
Last Update Date2024-11-14
Business Address
JENNIFER GRINAGE PA-C
222 SOUTHWAY AVE STE C
LEWISTON, ID 83501-2703
Phone number: 208-792-0111
Mailing Address
JENNIFER GRINAGE PA-C
1200 NORA CREEK RD
TROY, ID 83871-9647
Phone number: 208-792-1011