AIDAN S SORRELLS

SALEM, OR
NPI1134970130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
AIDAN S SORRELLS PSS
863 LIBERTY ST NE
SALEM, OR 97301-2451
Phone number: 877-522-1275
Mailing Address
AIDAN S SORRELLS PSS
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 877-522-1275