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Individual

KENNETH BOYCE SENSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT

Contact information

Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(818) 319-5980
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 910-3315

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
01/17/2025
Last updated
05/15/2025
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