Individual
LEAH ELLEN WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
104 E ROOSEVELT ROAD,, SUITE 201, WHEATON, IL 60187-5200
(630) 752-8823
(630) 480-0057
Mailing address
104 E ROOSEVELT ROAD,, SUITE 201, WHEATON, IL 60187-5200
(630) 752-8823
(630) 480-0057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-001001
IL
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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