Provider Demographics
NPI:1417242785
Name:STEYN, PAULA
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:STEYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42625 JACKSON ST
Mailing Address - Street 2:T-2441
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-9737
Mailing Address - Country:US
Mailing Address - Phone:760-863-3601
Mailing Address - Fax:760-863-3650
Practice Address - Street 1:42625 JACKSON ST
Practice Address - Street 2:T-2441
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-9737
Practice Address - Country:US
Practice Address - Phone:760-863-3601
Practice Address - Fax:760-863-3650
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist