Type 1 individualNPI 1003366535
SHERRELL CLARK
175T00000X · RIVERSIDE, CA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 175T00000X | 175T00000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 172V00000X | 172V00000X | Additional |
| 175T00000X | 175T00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s