SAMUEL DAVID SHERIDAN

CLEARLAKE, CA
NPI1780023267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-06-18
Last Update Date2013-06-19
Business Address
SAMUEL DAVID SHERIDAN
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
Mailing Address
SAMUEL DAVID SHERIDAN
PO BOX 4235
CLEARLAKE, CA 95422-4235
Phone number: 707-994-7090