Individual
MR. JEREMIAH DALE WEST I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW0000000623
Contact information
Practice address
1940 E THUNDERBIRD RD STE 206, PHOENIX, AZ 85022-5761
(480) 408-2694
Mailing address
1450 S COOPER RD APT 1035, CHANDLER, AZ 85286-0301
(480) 408-2694
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW0000000623
AZ
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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