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Organization
ST. HELENA OB/GYN CLINIC
Active
Organization
ST. HELENA OB/GYN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE W SOLOMON (MEDICAL GROUP COORDINATOR)
(707) 968-2870
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DR, SUITE 102, CLEARLAKE, CA 95422-9814
(707) 995-0193
Mailing address
15322 LAKESHORE DR, SUITE 102, CLEARLAKE, CA 95422-9814
(707) 995-0193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
08/22/2020
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