Individual
MEGHAN LYNN ROATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 N INDIANA AVE, MORTON, IL 61550-1617
(309) 202-7976
Mailing address
421 N INDIANA AVE, MORTON, IL 61550-1617
(309) 202-7976
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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