KELLY SORENSEN

ATHOL, ID
NPI1629513940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
(Licence: ID  L-110382)
Enumeration Date2016-12-21
Last Update Date2016-12-21
Business Address
-- KELLY SORENSEN IBCLC
23582 RAPALLA CT
ATHOL, ID 83801-7002
Phone number: 909-553-2113
Mailing Address
-- KELLY SORENSEN IBCLC
23582 RAPALLA CT
ATHOL, ID 83801-7002
Phone number: 909-553-2113