Provider Demographics
NPI:1932227857
Name:SHERRIFF, SALLY (LAC, DAOM)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:
Last Name:SHERRIFF
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 PLATEAU DR
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-9282
Mailing Address - Country:US
Mailing Address - Phone:831-818-5445
Mailing Address - Fax:
Practice Address - Street 1:320 RIVER ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2723
Practice Address - Country:US
Practice Address - Phone:831-295-6327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2019-02-27
Deactivation Date:2019-02-13
Deactivation Code:
Reactivation Date:2019-02-27
Provider Licenses
StateLicense IDTaxonomies
CA6996171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist