Individual
ERICKA BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2733 PARKVIEW DR, THOUSAND OAKS, CA 91362-4645
(805) 469-5199
Mailing address
2733 PARKVIEW DR, THOUSAND OAKS, CA 91362-4645
(805) 469-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53477
CA
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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