LEAH ELLEN WEATHERFORD

WHEATON, IL
NPI1962713271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164-001001)
Enumeration Date2010-07-01
Last Update Date2010-07-01
Business Address
-- LEAH ELLEN WEATHERFORD RD
104 E ROOSEVELT ROAD, SUITE 201
WHEATON, IL 60187-5200
Phone number: 630-752-8823
Mailing Address
-- LEAH ELLEN WEATHERFORD RD
104 E ROOSEVELT ROAD, SUITE 201
WHEATON, IL 60187-5200
Phone number: 630-752-8823
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