Individual
NICOLE ELISE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10507 S REDWOOD RD, SOUTH JORDAN, UT 84095-8504
(801) 446-9984
Mailing address
3472 W SEEFELD CT, RIVERTON, UT 84065-6917
(385) 630-0531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12460651-1702
UT
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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