Provider Demographics
NPI:1639297286
Name:MCCLURKAN, SHERILYN MARIE
Entity Type:Individual
Prefix:
First Name:SHERILYN
Middle Name:MARIE
Last Name:MCCLURKAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 CYPRESS AVE
Mailing Address - Street 2:SP. 14
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2811
Mailing Address - Country:US
Mailing Address - Phone:909-590-4646
Mailing Address - Fax:
Practice Address - Street 1:555 E OCEAN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5052
Practice Address - Country:US
Practice Address - Phone:562-432-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator