Individual
SEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8757 SHARMEAD WAY, FAIR OAKS, CA 95628-6337
(253) 461-5634
Mailing address
8757 SHARMEAD WAY, FAIR OAKS, CA 95628-6337
(253) 461-5634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E 4861
CA
Other
Enumeration date
01/05/2010
Last updated
01/04/2016
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