Individual
MS. JEAN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519
(203) 503-3010
(203) 503-3117
Mailing address
12 KOURY CT, WEST HAVEN, CT 06516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
073563
CT
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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