Individual
MADYSON ELISE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1200 PINE ST, ELDORADO, IL 62930-1635
(618) 273-3361
Mailing address
1200 PINE ST, ELDORADO, IL 62930-1635
(618) 273-3361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86066959
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/18/2019
Last updated
12/17/2020
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