Individual
GANNA BAETGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
827 ALTOS OAKS DR STE 4, LOS ALTOS, CA 94024-5490
(408) 495-5770
(650) 912-1129
Mailing address
827 ALTOS OAKS DR STE 4, LOS ALTOS, CA 94024-5490
(408) 495-5770
(650) 912-1129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22115
CA
Other
Enumeration date
05/22/2012
Last updated
07/15/2023
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