person
Georgann Gervasi-lyttkens, PA-C,RDCS,RVT
Medical Physician Assistant in Fremont, California
NPI 1295952034

Georgann Gervasi-lyttkens is a Medical Physician Assistant based in Fremont, CA and is specialized in Medical. Georgann Gervasi-lyttkens practices in Fremont, CA and has the professional credentials of PA-C,RDCS,RVT. The NPI Number for Georgann Gervasi-lyttkens is 1295952034 and holds a License No. (California).

The current practice location address for Georgann Gervasi-lyttkens is 2333 Mowry Ave, Fremont, CA and can be reached out via phone at 510-792-2012 and via fax at 510-792-7986. You can also correspond with Georgann Gervasi-lyttkens through the mailing address at 2333 MOWRY AVE, FREMONT, CA - 94538-1625 (mailing address contact number: 510-792-2012).

Location: 2333 Mowry Ave, Fremont, CA, 94538-1625
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Provider Profile Details
NPI Number
1295952034
Provider Name
Georgann Gervasi-lyttkens
Credential
PA-C,RDCS,RVT
Provider Entity Type
Individual
Gender
Female
Address
2333 Mowry Ave, Fremont, CA, 94538-1625
Phone Number
510-792-2012
Fax Number
510-792-7986
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13704 01 CA PHYSICIAN ASSIST. LICENSE
institution
Provider Business Practice Location Address Details
Address
2333 Mowry Ave
City
State
Zip
94538-1625
Phone Number
510-792-2012
Fax Number
510-792-7986
person
Provider Business Mailing Address Details
Address
2333 Mowry Ave
City
State
Zip
94538-1625
Phone Number
510-792-2012
Fax Number
510-792-7986
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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