Individual
MRS. TRICIA ANN ROESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRD, CDE
Contact information
Practice address
403 ELM STREET, LISBON, ND 58054
(701) 683-5823
(701) 683-0034
Mailing address
15302 52 1/2 ST SE, LEONARD, ND 58052-9201
(701) 645-0100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
691
ND
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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