Search › California › 167G00000X
Kenneth Jonavil Gamboa
NPI 1841013885 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7110 Steiger Hill Rd
Vacaville, CA 95688 - Phone
- (707) 656-6625
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Also registered as
- 106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California