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Jose Mayorga

NPI 1346622305 · on the registry since 2015 · sole proprietor

Practice

Address
2062 E Sonora St
Stockton, CA 95205
Phone
(408) 792-2100

Registry record

Primary taxonomy
247200000X
247200000X
Also registered as
282N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-12

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