JEFF P JOLLY

LONGVIEW, WA
NPI1841297744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10002542)
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
-- JEFF P JOLLY PA
1615 DELAWARE ST
LONGVIEW, WA 98632-2310
Phone number: 360-414-2360
Mailing Address
-- JEFF P JOLLY PA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2000