Individual
LEAH G ROESCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-5872
Mailing address
5398 TOWNHALL RD, HOPEDALE, IL 61747-9410
(815) 419-7193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006078
IL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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