IndividualActive
Wanda Jimenez, M.D.M.P.H
NPI 1306867700 · Public Health & General Preventive Medicine Physician · Centralia, WA
Provider details
- NPI number
- 1306867700
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.M.P.H
- Sex
- Female
- Sole proprietor
- No
- License
- 175463 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1707 Cooks Hill Rd
Centralia, WA 98531-9071
Phone: (360) 736-1961
Approximate (ZIP-level) locationGet directions
Mailing address
1707 Cooks Hill Rd
Centralia, WA 98531-9071
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.