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Jordan Cabrera

NPI 1275411043 · on the registry since 2025 · sole proprietor

Practice

Address
1404 Chinquapin Dr
South Lake Tahoe, CA 96150
Phone
(530) 314-3646

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-21

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