STACY ANNE ROTH

DES PLAINES, IL
NPI1427189075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004429)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Miss STACY ANNE ROTH RD, LDN, MPH
9039 W CHURCH ST APT 1H
DES PLAINES, IL 60016-7008
Phone number: 630-201-3847
Mailing Address
Miss STACY ANNE ROTH RD, LDN, MPH
9039 W CHURCH ST APT 1H
DES PLAINES, IL 60016-7008
Phone number: 630-201-3847
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