Dale, Jennifer Wynne Bopp

Dale, Jennifer Wynne Bopp is an sole proprietor health care provider with primary practice located at 4904 S Power Rd , Mesa AZ 85212-3609. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dale, Jennifer Wynne Bopp can be contacted via phone (602) 770-7611.

Contact Information

Primary practice address
4904 S Power Rd Mesa AZ 85212-3609
Phone: (602) 770-7611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 968353 Arizona

Profile Details

NPI number 1497177992
LBN Legal business name Dale, Jennifer Wynne Bopp
Credentials M.S., R.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2014
Last updated Jan 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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