TINA SORG

Licensed Practical Nurse

Active Individual
NPI: 1700150646

Practice Address

40903 236TH AVE SE
Enumclaw, WA 98022

Phone: (360) 825-6525

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes LP60087273 (WA)

Frequently Asked Questions

NPI 1700150646 is the National Provider Identifier for TINA SORG, a Licensed Practical Nurse provider located in Enumclaw, WA. This NPI was enumerated on February 23, 2012.
TINA SORG practices at 40903 236TH AVE SE, Enumclaw, WA 98022.

Quick Facts

NPI
1700150646
Type
Individual
Enumerated
Feb 23, 2012
Last Updated
Feb 23, 2012

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