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Organization
SYNERGY DIETETICS
Active
Organization
SYNERGY DIETETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE KANE RD (OWNER)
(209) 200-0777
Entity
Organization
Contact information
Practice address
641 ALDWYCH CT, GALT, CA 95632-8446
(209) 200-0777
(209) 744-1616
Mailing address
PO BOX 455, GALT, CA 95632-0455
(209) 200-0777
(209) 744-1616
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/05/2014
Last updated
10/28/2014
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