Individual
MANUEL JIMENEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1614 E EDISON AVE STE F, SUNNYSIDE, WA 98944-1668
(509) 824-6994
(509) 515-2034
Mailing address
409 EMERALD AVE, GRANDVIEW, WA 98930-6101
(509) 388-4686
(509) 515-2034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
01/05/2017
Last updated
02/09/2026
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