Mr. Jeremiah Dale West I, CHW0000000623
Mr. Jeremiah Dale West I, CHW0000000623 is a Community Health Worker in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2025
Practice location Address checks out
1940 E Thunderbird Rd Ste 206Phoenix, AZ 85022-5761
Phone: (480) 408-2694
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence CHW0000000623 (AZ) |
|---|
Record details
| NPI number | 1568261501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CHW0000000623 |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2025 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
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