Sofia Ida Sorrento
Student in an Organized Health Care Education/Training Program in Malden, MA. Individual provider (NPI-1).
NPI number1104738020
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1104738020
- Entity type
- Individual (NPI-1)
- Name
- Sofia Ida Sorrento
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2026
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA | Yes |
Practice location
350 Cross StMalden, MA 02148-7917
Phone 781-322-9119
Mailing address
123 Oliver StMalden, MA 02148-4617
Phone 339-224-0181
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All 51 Student in an Organized Health Care Education/Training Program providers in Malden · All 1,311 providers in Malden
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