Provider Demographics
NPI:1699831933
Name:SORIANO, MARIA BLANCA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:BLANCA
Last Name:SORIANO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5779 W BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2290
Mailing Address - Country:US
Mailing Address - Phone:559-288-0232
Mailing Address - Fax:559-277-0214
Practice Address - Street 1:5779 W BLUFF AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2290
Practice Address - Country:US
Practice Address - Phone:559-288-0232
Practice Address - Fax:559-277-0214
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN153184164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3488936OtherMEDI-CAL NUMBER