Individual
CORINA SCHEEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
20642 JOHN DR, CASTRO VALLEY, CA 94546-5103
(510) 785-5000
Mailing address
20642 JOHN DR, CASTRO VALLEY, CA 94546-5103
(510) 785-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59305
CA
363AM0700X
Medical Physician Assistant
PA09166
TX
Other
Enumeration date
09/17/2014
Last updated
11/18/2022
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