MRS. Ellen Roth, R.D.
NPI #1396141859 in Bloomington, Illinois
Provider Information
- NPI Number
- 1396141859
- Entity Type
- Individual
- Name
- MRS. Ellen Roth, R.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Nov 11, 2014
- Last Updated
- Nov 11, 2014
Practice Location
- Address
- 9 HEARTLAND DR STE C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7733
- Phone
- (309) 663-7643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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