Individual
PATRICK WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1913 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-4820
(505) 385-8284
Mailing address
1913 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-4820
(505) 385-8284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0901
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84103868
—
NM
Enumeration date
07/08/2014
Last updated
08/25/2021
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