Individual
SAMUEL J CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Mailing address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
(415) 476-1435
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95025931
CA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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