Individual
MR. JACE WILLIAM KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
414 G ST, SUITE 208, MARYSVILLE, CA 95901-5663
(530) 741-1122
Mailing address
901 CRANSTON DR, WOODLAND, CA 95776-5000
(530) 383-3957
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20033
CA
Other
Enumeration date
11/07/2008
Last updated
10/10/2012
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