Individual
AMANDA LEIGH SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92-1628 LUAU DR., OCEANVIEW, HI 96737-9673
(808) 990-1611
Mailing address
PO BOX 377331, OCEAN VIEW, HI 96737-7331
(808) 990-1611
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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