Provider Demographics
NPI:1780861559
Name:STETTER, MAYA CHRISTINA (INTERN)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:CHRISTINA
Last Name:STETTER
Suffix:
Gender:F
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 LISA LN APT 109
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3929
Mailing Address - Country:US
Mailing Address - Phone:925-812-0688
Mailing Address - Fax:
Practice Address - Street 1:2387 LISA LN APT 109
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3929
Practice Address - Country:US
Practice Address - Phone:925-812-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program