Individual
JIM SORRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-9406
Mailing address
1102 N REVERE, MESA, AZ 85201-3215
(480) 734-4934
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038863
AZ
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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