Individual
JENNIFER DIANE GRIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
BG61371278
WA
Other
Enumeration date
10/24/2022
Last updated
11/28/2022
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