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Individual

JARED OPPELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPH, RDN

Contact information

Practice address
2020 W UNION HILLS DR UNIT 145, PHOENIX, AZ 85027-5810
(203) 747-1444
Mailing address
2020 W UNION HILLS DR UNIT 145, PHOENIX, AZ 85027-5810

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1092805
AZ
133NN1002X
Nutrition Education Nutritionist
1092805
AZ
133V00000X
Registered Dietitian
Primary
1092805
AZ
133VN1005X
Renal Nutrition Registered Dietitian
1092805
AZ
133VN1006X
Metabolic Nutrition Registered Dietitian
1092805
AZ

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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