Individual
BREANNA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 LANDA ST APT 822, NEW BRAUNFELS, TX 78130-7970
(360) 903-2215
Mailing address
176 LANDA ST APT 822, NEW BRAUNFELS, TX 78130-7970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347449
TX
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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