Individual
CIDNEY OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6677 SANTA MONICA BLVD APT 3713, LOS ANGELES, CA 90038-1690
(925) 548-3475
Mailing address
6677 SANTA MONICA BLVD APT 3713, LOS ANGELES, CA 90038-1690
(925) 548-3475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290663
CA
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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