Individual
CLARK SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-2400
(951) 509-2405
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-2400
(951) 509-2405
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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