Individual
MRS. KATHERINE GOMEZ REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N ELLEN DR, WEST COVINA, CA 91790-1642
(626) 338-3862
Mailing address
630 N ELLEN DR, WEST COVINA, CA 91790-1642
(626) 338-3862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS12744
CA
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
03/17/2021
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