Organization
SYNERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA QUEEN (RD)
(618) 314-2905
Entity
Organization
Contact information
Practice address
11 N MAIN ST, PINCKNEYVILLE, IL 62274-1153
(618) 314-2905
Mailing address
11 N MAIN ST, PINCKNEYVILLE, IL 62274-1153
(618) 314-2905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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