Individual
MAKENZIE JADE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6535
Mailing address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R057822
SD
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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