Individual
DIANE LYNN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7368 CENTER AVENUE, HUNTINGTON BEACH, CA 92647
(714) 890-0900
Mailing address
19892 CHESAPEAKE LANE, HUNTINGTON BEACH, CA 92646
(714) 593-3003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS0019
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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