JACKIE JIAQI WU

PHOENIX, AZ
NPI1265295117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  86377434)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: IL  164.009460)
Enumeration Date2024-02-02
Last Update Date2025-12-17
Business Address
JACKIE JIAQI WU RD
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051-9625
Phone number: 602-674-1068
Mailing Address
JACKIE JIAQI WU RD
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308-8398
Phone number: 623-399-6825