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Individual

DR. MARCEA LEE KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, RN

Contact information

Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4897
(707) 322-9635
Mailing address
2153 MOUNT OLIVE DR, SANTA ROSA, CA 95404-5304
(707) 328-4659

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
534354
CA

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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