Provider Demographics
NPI:1700593795
Name:JOLLEY, PATRICIA MAY (CMA)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MAY
Last Name:JOLLEY
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MAY
Other - Last Name:BRUNNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CALVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114
Mailing Address - Country:US
Mailing Address - Phone:509-684-7925
Mailing Address - Fax:509-563-8200
Practice Address - Street 1:250 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:CALVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114
Practice Address - Country:US
Practice Address - Phone:509-684-7925
Practice Address - Fax:509-563-8200
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other