Individual
MRS. ATHENA SORENSEN
Active
Individual
MRS. ATHENA SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
269130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269130
LICENSE NUMBER
CA
Enumeration date
05/27/2020
Last updated
05/27/2020
Update your record
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