Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY BENJAMIN GOFORTH, PH.D.
Active Sole ProprietorJEREMY BENJAMIN GOFORTH, PH.D. is a Nutrition, Education healthcare provider located in STOCKTON, California. NPI 1871016238 is currently active in the NPPES registry. Verify at CMS.
Nutrition, Education · STOCKTON, CA
Registration Details
- NPI Number
- 1871016238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2017 (9.1110415902159 yrs)
- Last Updated
- Jul 18, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
2815 BONNIE LNSTOCKTON, CA, 952044411Browse CA providers · Browse ZIP 95204
- Phone
- 9253811187
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.