Provider Demographics
NPI:1952014367
Name:SORENSEN, TORIA MICHELLE
Entity Type:Individual
Prefix:MISS
First Name:TORIA
Middle Name:MICHELLE
Last Name:SORENSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 MESA VERDE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-5616
Mailing Address - Country:US
Mailing Address - Phone:253-651-5354
Mailing Address - Fax:
Practice Address - Street 1:911 MESA VERDE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-5616
Practice Address - Country:US
Practice Address - Phone:253-651-5354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist