Individual
MARILYN LUCILLE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
652 S MEDICAL CENTER DR LOWR LEVEL, ST GEORGE, UT 84790-7049
(435) 251-3793
Mailing address
463 E RUBY PL, WASHINGTON, UT 84780-2838
(509) 315-7815
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9722341-4901
UT
133V00000X
Registered Dietitian
DI 60131549
WA
Other
Enumeration date
10/14/2010
Last updated
10/18/2018
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