FREDERICK CLOCK

SANTA CRUZ, CA
NPI1013731066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: CA  172V00000X)
Enumeration Date2024-11-14
Last Update Date2024-11-14
Business Address
FREDERICK CLOCK
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Mailing Address
FREDERICK CLOCK
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700