Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 98577 | CA |
NPI | 1962631028 |
---|---|
Provider Name | Kim Ann Steffen |
First Address | Newcastle, CA 95658-0260 |
Second Address | Newcastle, CA 95658-0260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 10/07/2009 |