Individual
SAVANNAH GRACE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
415 GEORGIA ST, VALLEJO, CA 94590-6004
(707) 556-8100
(707) 556-8107
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95010542
CA
Other
Enumeration date
03/18/2019
Last updated
03/01/2022
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