| NPI | 1023315116 |
|---|---|
| Doing Business As | ST. HELENA FAMILY PRACTICE CLEARLAKE |
| Entity Type | Organization |
| Authorized Contact | JEFF CONKLIN President 916-789-4209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-06-08 |