Individual
AMBER VIDA OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 RAYMAR CT, SACRAMENTO, CA 95835-1327
(916) 613-1285
Mailing address
2141 RAYMAR CT, SACRAMENTO, CA 95835-1327
(916) 613-1285
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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