JEREMIAH DALE WEST

PHOENIX, AZ
NPI1568261501
Former NameJEREMIAH DALE BLOEMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: AZ  CHW0000000623)
Enumeration Date2025-03-12
Last Update Date2025-03-12
Business Address
Mr. JEREMIAH DALE WEST CHW0000000623
1940 E THUNDERBIRD RD STE 206
PHOENIX, AZ 85022-5761
Phone number: 480-408-2694
Mailing Address
Mr. JEREMIAH DALE WEST CHW0000000623
1450 S COOPER RD APT 1035
CHANDLER, AZ 85286-0301
Phone number: 480-408-2694