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Individual

DR. CRAIG JACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA, LAC

Contact information

Practice address
10843 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601
(818) 505-8610
Mailing address
10843 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601
(818) 505-8610

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
3835
CA
363AM0700X
Medical Physician Assistant
Primary
12998
CA

Other

Enumeration date
10/04/2006
Last updated
06/08/2010
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