Individual
DR. JESSE L KLEBBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
Mailing address
39772 FORBES DR, STERLING HEIGHTS, MI 48310-2510
(586) 718-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60480696
WA
207Q00000X
Family Medicine Physician
Primary
OP60778790
WA
Other
Enumeration date
05/29/2014
Last updated
03/30/2018
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