Individual
JENNIFER RENEE KOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 W ELLIOT RD, GILBERT, AZ 85233-5102
(602) 510-3939
Mailing address
694 W BARTLETT WAY, CHANDLER, AZ 85248-5088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6955
AZ
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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