MISS Stacy Anne Roth, RD, LDN, MPH
NPI #1427189075 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1427189075
- Entity Type
- Individual
- Name
- MISS Stacy Anne Roth, RD, LDN, MPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LDN, MPH
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9039 W CHURCH ST
- Address 2
- APT 1H
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-7008
- Phone
- (630) 201-3847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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