Most Relevant Information
Provider Data
| NPI Number: | 1003509662 |
| Provider Name: | VICTORIA HERBERT-THORSLAND LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 691886 |
Most Important Dates
| Enumeration Date: | 05/31/2023 |
| Last Updated: | 05/31/2023 |
Provider Practice Location
691 PAULINE CT
SONORA
CA
953705216
Practice Location Phone/Fax
| Phone: | 2092880302 |
| Fax: |
Provider Mailing Location
691 PAULINE CT
SONORA
CA
953705216
Provider Mailing Phone/Fax
| Phone: | 2092880302 |
| Fax: |