Individual
ROSHELLE MARIE LEILUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
4063 W 12600 S, RIVERTON, UT 84096-7302
(801) 495-4800
Mailing address
1468 W HUNTERS VIEW CT, RIVERTON, UT 84065-6160
(801) 495-4800
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
7984062-4601
UT
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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