LOVERNE GREG DE VENECIA JIMENEZ

SEATTLE, WA
NPI1548402209
Other NameGREG JIMENEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WA  PA60061961)
Enumeration Date2009-03-27
Last Update Date2024-03-08
Business Address
Mr. LOVERNE GREG DE VENECIA JIMENEZ PA-C
747 BROADWAY
SEATTLE, WA 98122-4379
Phone number: 206-861-8550
Mailing Address
Mr. LOVERNE GREG DE VENECIA JIMENEZ PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476