Individual
KIMBERLY CAMILLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3610 CENTRAL AVE, STE 400, RIVERSIDE, CA 92506-5907
(951) 330-4360
(888) 978-4430
Mailing address
PO BOX 858, LAKE ELSINORE, CA 92531-0858
(951) 330-4360
(888) 978-4430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912518
CA
Other
Enumeration date
07/09/2013
Last updated
02/19/2022
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