Provider Demographics
NPI:1689729949
Name:GIPNER, VERONCIA LOUISE (CLS(NCA), MT (AMT))
Entity Type:Individual
Prefix:
First Name:VERONCIA
Middle Name:LOUISE
Last Name:GIPNER
Suffix:
Gender:F
Credentials:CLS(NCA), MT (AMT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PLUM LN APT 1
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-5135
Mailing Address - Country:US
Mailing Address - Phone:509-966-2501
Mailing Address - Fax:509-966-2501
Practice Address - Street 1:401 BUSTER RD
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-9792
Practice Address - Country:US
Practice Address - Phone:509-865-1704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology