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Mr. Loverne Greg De Venecia Jimenez, PA-C
Surgical Physician Assistant in Seattle, Washington
NPI 1548402209

Loverne Greg De Venecia Jimenez is a Surgical Physician Assistant based in Salt Lake City, WA and is specialized in Surgical. Loverne Greg De Venecia Jimenez practices in Seattle, WA and has the professional credentials of PA-C. The NPI Number for Loverne Greg De Venecia Jimenez is 1548402209 and holds a License No. PA60061961 (Washington).

The current practice location address for Loverne Greg De Venecia Jimenez is 747 Broadway, Seattle, WA and can be reached out via phone at 206-861-8550 and via fax at 206-861-8551.

Location: 747 Broadway, Seattle, WA, 84125-0608
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Provider Profile Details
NPI Number
1548402209
Provider Name
Loverne Greg De Venecia Jimenez
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
747 Broadway, Seattle, WA, 84125-0608
Phone Number
206-861-8550
Fax Number
206-861-8551
Provider Enumeration Date
03/27/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000905 05 WA
institution
Provider Business Practice Location Address Details
Address
747 Broadway
City
State
Zip
98122-4379
Phone Number
206-861-8550
Fax Number
206-861-8551
person
Provider Business Mailing Address Details
Address
747 Broadway
City
State
Zip
98122-4379
Phone Number
206-861-8550
Fax Number
206-861-8551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA60061961 (Washington)
Definition
Definition to come...
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