Individual
MS. BECKY J OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, CD
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 535-2868
Mailing address
200 HIGH PARK AVENUE, GOSHEN, IN 46526-4361
(574) 535-2868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001104A
IN
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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