Individual
JAMIE SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
2702 N 3RD ST, STE 4020, PHOENIX, AZ 85004-1130
(602) 323-3345
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86036064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86036064
LICENSE
AZ
Enumeration date
12/03/2014
Last updated
02/03/2016
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