Individual
MS. GRACE ANITA SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1023 BROMMER ST, SANTA CRUZ, CA 95062-2807
(925) 348-5443
Mailing address
1023 BROMMER ST, SANTA CRUZ, CA 95062-2807
(925) 348-5443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95215971
CA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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