NPI 1184228306 · live from the CMS NPI Registry
Wesley Job Mayeux, RDN, CSSD
Dietitian, Registered, Nutrition, Sports Dietetics in Tripler Amc, HI. National Provider Identifier 1184228306, active.
NPI record
| NPI | 1184228306 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Sports Dietetics 133VN1501X |
| Practice location | 1 Jarrett White Rd, Tripler Amc, HI 96859 |
| Practice phone | 936-668-1581 |
| Mailing address | 1218 Pikake St, Wahiawa, HI 96786 |
| Enumerated | November 29, 2020 |
| Last updated | August 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 86108438 (TX) |
| Dietitian, Registered, Nutrition, Sports Dietetics primary | 133VN1501X | 86108438 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.