Individual
KENNETH BOYD GOMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PPSC
Contact information
Practice address
2200 E WAGNER AVE, ANAHEIM, CA 92806-4933
(714) 999-3644
Mailing address
2200 E WAGNER AVE, ANAHEIM, CA 92806-4933
(714) 999-3644
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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