Individual
BETH SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 S DE ANZA BLVD, MOUNTAIN HOUSE, CA 95391-7900
(209) 836-7400
Mailing address
111 S DE ANZA BLVD, MOUNTAIN HOUSE, CA 95391-7900
(209) 836-7400
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
617939
CA
Other
Enumeration date
02/17/2023
Last updated
03/29/2023
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