Individual
DR. CHERYLL ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2660 W COVELL BLVD STE B, DAVIS, CA 95616-5645
(530) 747-3000
Mailing address
2660 W COVELL BLVD STE B, DAVIS, CA 95616-5645
(530) 747-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
146218
CA
Other
Enumeration date
07/02/2007
Last updated
11/22/2017
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