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Kassandra Mayorga

NPI 1548877111 · on the registry since 2020

Practice

Address
13151 Santa Clara Way
Victorville, CA 92394
Phone
(760) 508-6743

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-24

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