Individual
DR. KERITH LEA OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 SANNS LN, HEALDSBURG, CA 95448-3525
(707) 395-0336
Mailing address
PO BOX 92, HEALDSBURG, CA 95448-0092
(707) 395-0336
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A69730
CA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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