Individual
JOSHUA JACKSON WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD/RDN
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
(000) 000-0000
Mailing address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1496
WV
133V00000X
Registered Dietitian
Primary
86174151
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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