Samuel David Sheridan
Samuel David Sheridan is a Case Manager/Care Coordinator in Clearlake, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
7000B S Center DrClearlake, CA 95422-8131
Phone: (707) 994-7090
Fax: (707) 994-7092
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1780023267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2013 |
| Last updated in NPPES | June 19, 2013 |
| Mailing address | Po Box 4235, Clearlake, CA 95422-4235 |
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Ariel Verane Serre
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Elizabeth Solis
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Nichealle Mylenda Thies
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Jayme Thomas
7000B S Center Dr, Clearlake, CA 95422-8131 · (707) 994-7090