Individual
KASSANDRA RAYVEN DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 S TRINITY ST, FRESNO, CA 93706-1873
(559) 538-1230
Mailing address
3520 E SHIELDS AVE STE 102, FRESNO, CA 93726-6923
(559) 538-1230
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
06/24/2025
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